Release 4

This page is part of a downloaded copy of this specification. This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU). For a full list of available versions, see the Directory of published versions

Substancespecification.profile.ttl

Biomedical Research and Regulation Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

Raw Turtle (+ also see Turtle/RDF Format Specification)

StructureDefinition for substancespecification

@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .

# - resource -------------------------------------------------------------------

[] a fhir:StructureDefinition;
  fhir:Resource.id [ fhir:value "SubstanceSpecification"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2019-11-01T09:29:23.356+11:00" ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-category" ];
     fhir:Extension.value [ fhir:value "Specialized.Medication Definition" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ];
     fhir:Extension.value [ fhir:value "trial-use" ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ];
     fhir:Extension.value [ fhir:value "0" ]
  ], [
     fhir:index 3;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category" ];
     fhir:Extension.value [ fhir:value "anonymous" ]
  ], [
     fhir:index 4;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ];
     fhir:Extension.value [ fhir:value "brr" ]
  ];
  fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/SubstanceSpecification"];
  fhir:StructureDefinition.version [ fhir:value "4.0.1"];
  fhir:StructureDefinition.name [ fhir:value "SubstanceSpecification"];
  fhir:StructureDefinition.status [ fhir:value "draft"];
  fhir:StructureDefinition.date [ fhir:value "2019-11-01T09:29:23+11:00"];
  fhir:StructureDefinition.publisher [ fhir:value "Health Level Seven International (Biomedical Research and Regulation)"];
  fhir:StructureDefinition.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]
     ]
  ], [
     fhir:index 1;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/rcrim/index.cfm" ]
     ]
  ];
  fhir:StructureDefinition.description [ fhir:value "The detailed description of a substance, typically at a level beyond what is used for prescribing."];
  fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"];
  fhir:StructureDefinition.mapping [
     fhir:index 0;
     fhir:StructureDefinition.identity [ fhir:value "rim" ];
     fhir:StructureDefinition.uri [ fhir:value "http://hl7.org/v3" ];
     fhir:StructureDefinition.name [ fhir:value "RIM Mapping" ]
  ];
  fhir:StructureDefinition.kind [ fhir:value "resource"];
  fhir:StructureDefinition.abstract [ fhir:value "false"];
  fhir:StructureDefinition.type [ fhir:value "SubstanceSpecification"];
  fhir:StructureDefinition.baseDefinition [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource"];
  fhir:StructureDefinition.derivation [ fhir:value "specialization"];
  fhir:StructureDefinition.snapshot [
     fhir:StructureDefinition.element [
       fhir:index 0;
       fhir:Element.id [ fhir:value "SubstanceSpecification" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification" ];
       fhir:ElementDefinition.short [ fhir:value "The detailed description of a substance, typically at a level beyond what is used for prescribing" ];
       fhir:ElementDefinition.definition [ fhir:value "The detailed description of a substance, typically at a level beyond what is used for prescribing." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "dom-2" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ];
         fhir:ElementDefinition.expression [ fhir:value "contained.contained.empty()" ];
         fhir:ElementDefinition.xpath [ fhir:value "not(parent::f:contained and f:contained)" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "dom-3" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ];
         fhir:ElementDefinition.expression [ fhir:value "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ];
         fhir:ElementDefinition.xpath [ fhir:value "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ], [
         fhir:index 2;
         fhir:ElementDefinition.key [ fhir:value "dom-4" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ];
         fhir:ElementDefinition.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ];
         fhir:ElementDefinition.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ], [
         fhir:index 3;
         fhir:ElementDefinition.key [ fhir:value "dom-5" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a security label" ];
         fhir:ElementDefinition.expression [ fhir:value "contained.meta.security.empty()" ];
         fhir:ElementDefinition.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:security))" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ], [
         fhir:index 4;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ];
           fhir:Extension.value [ fhir:value "true" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ];
           fhir:Extension.value [ fhir:value "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ]
         ];
         fhir:ElementDefinition.key [ fhir:value "dom-6" ];
         fhir:ElementDefinition.severity [ fhir:value "warning" ];
         fhir:ElementDefinition.human [ fhir:value "A resource should have narrative for robust management" ];
         fhir:ElementDefinition.expression [ fhir:value "text.`div`.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:text/h:div)" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "Entity. Role, or Act" ]
       ]
     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "SubstanceSpecification.id" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.id" ];
       fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ];
       fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ];
       fhir:ElementDefinition.comment [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Resource.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.value [ fhir:value "string" ]
         ];
         fhir:ElementDefinition.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "SubstanceSpecification.meta" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.meta" ];
       fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ];
       fhir:ElementDefinition.definition [ fhir:value "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Resource.meta" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Meta" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "SubstanceSpecification.implicitRules" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.implicitRules" ];
       fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ];
       fhir:ElementDefinition.definition [ fhir:value "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ];
       fhir:ElementDefinition.comment [ fhir:value "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Resource.implicitRules" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "uri" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "SubstanceSpecification.language" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.language" ];
       fhir:ElementDefinition.short [ fhir:value "Language of the resource content" ];
       fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ];
       fhir:ElementDefinition.comment [ fhir:value "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Resource.language" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "code" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.binding [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ];
           fhir:Extension.value [ fhir:value "http://hl7.org/fhir/ValueSet/all-languages" ]
         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
           fhir:Extension.value [ fhir:value "Language" ]
         ], [
           fhir:index 2;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
           fhir:Extension.value [ fhir:value "true" ]
         ];
         fhir:ElementDefinition.strength [ fhir:value "preferred" ];
         fhir:ElementDefinition.description [ fhir:value "A human language." ];
         fhir:ElementDefinition.valueSet [ fhir:value "http://hl7.org/fhir/ValueSet/languages" ]
       ]
     ], [
       fhir:index 5;
       fhir:Element.id [ fhir:value "SubstanceSpecification.text" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.text" ];
       fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ];
       fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ];
       fhir:ElementDefinition.comment [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ];
       fhir:ElementDefinition.alias [
         fhir:value "narrative";
         fhir:index 0
       ], [
         fhir:value "html";
         fhir:index 1
       ], [
         fhir:value "xhtml";
         fhir:index 2
       ], [
         fhir:value "display";
         fhir:index 3
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "DomainResource.text" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Narrative" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "Act.text?" ]
       ]
     ], [
       fhir:index 6;
       fhir:Element.id [ fhir:value "SubstanceSpecification.contained" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.contained" ];
       fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ];
       fhir:ElementDefinition.definition [ fhir:value "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ];
       fhir:ElementDefinition.comment [ fhir:value "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ];
       fhir:ElementDefinition.alias [
         fhir:value "inline resources";
         fhir:index 0
       ], [
         fhir:value "anonymous resources";
         fhir:index 1
       ], [
         fhir:value "contained resources";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "DomainResource.contained" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Resource" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 7;
       fhir:Element.id [ fhir:value "SubstanceSpecification.extension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "DomainResource.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 8;
       fhir:Element.id [ fhir:value "SubstanceSpecification.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "DomainResource.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 9;
       fhir:Element.id [ fhir:value "SubstanceSpecification.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "Identifier by which this substance is known" ];
       fhir:ElementDefinition.definition [ fhir:value "Identifier by which this substance is known." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.identifier" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Identifier" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 10;
       fhir:Element.id [ fhir:value "SubstanceSpecification.type" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.type" ];
       fhir:ElementDefinition.short [ fhir:value "High level categorization, e.g. polymer or nucleic acid" ];
       fhir:ElementDefinition.definition [ fhir:value "High level categorization, e.g. polymer or nucleic acid." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.type" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 11;
       fhir:Element.id [ fhir:value "SubstanceSpecification.status" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.status" ];
       fhir:ElementDefinition.short [ fhir:value "Status of substance within the catalogue e.g. approved" ];
       fhir:ElementDefinition.definition [ fhir:value "Status of substance within the catalogue e.g. approved." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.status" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 12;
       fhir:Element.id [ fhir:value "SubstanceSpecification.domain" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.domain" ];
       fhir:ElementDefinition.short [ fhir:value "If the substance applies to only human or veterinary use" ];
       fhir:ElementDefinition.definition [ fhir:value "If the substance applies to only human or veterinary use." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.domain" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 13;
       fhir:Element.id [ fhir:value "SubstanceSpecification.description" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.description" ];
       fhir:ElementDefinition.short [ fhir:value "Textual description of the substance" ];
       fhir:ElementDefinition.definition [ fhir:value "Textual description of the substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.description" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 14;
       fhir:Element.id [ fhir:value "SubstanceSpecification.source" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.source" ];
       fhir:ElementDefinition.short [ fhir:value "Supporting literature" ];
       fhir:ElementDefinition.definition [ fhir:value "Supporting literature." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.source" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DocumentReference";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 15;
       fhir:Element.id [ fhir:value "SubstanceSpecification.comment" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.comment" ];
       fhir:ElementDefinition.short [ fhir:value "Textual comment about this record of a substance" ];
       fhir:ElementDefinition.definition [ fhir:value "Textual comment about this record of a substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.comment" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 16;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety" ];
       fhir:ElementDefinition.short [ fhir:value "Moiety, for structural modifications" ];
       fhir:ElementDefinition.definition [ fhir:value "Moiety, for structural modifications." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 17;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.id" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.value [ fhir:value "string" ]
         ];
         fhir:ElementDefinition.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 18;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.extension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 19;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 20;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.role" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.role" ];
       fhir:ElementDefinition.short [ fhir:value "Role that the moiety is playing" ];
       fhir:ElementDefinition.definition [ fhir:value "Role that the moiety is playing." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.role" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 21;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "Identifier by which this moiety substance is known" ];
       fhir:ElementDefinition.definition [ fhir:value "Identifier by which this moiety substance is known." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.identifier" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Identifier" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 22;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.name" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.name" ];
       fhir:ElementDefinition.short [ fhir:value "Textual name for this moiety substance" ];
       fhir:ElementDefinition.definition [ fhir:value "Textual name for this moiety substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.name" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 23;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.stereochemistry" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.stereochemistry" ];
       fhir:ElementDefinition.short [ fhir:value "Stereochemistry type" ];
       fhir:ElementDefinition.definition [ fhir:value "Stereochemistry type." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.stereochemistry" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 24;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.opticalActivity" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.opticalActivity" ];
       fhir:ElementDefinition.short [ fhir:value "Optical activity type" ];
       fhir:ElementDefinition.definition [ fhir:value "Optical activity type." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.opticalActivity" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 25;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.molecularFormula" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.molecularFormula" ];
       fhir:ElementDefinition.short [ fhir:value "Molecular formula" ];
       fhir:ElementDefinition.definition [ fhir:value "Molecular formula." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.molecularFormula" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 26;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.amount[x]" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.amount[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Quantitative value for this moiety" ];
       fhir:ElementDefinition.definition [ fhir:value "Quantitative value for this moiety." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.amount[x]" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 27;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property" ];
       fhir:ElementDefinition.short [ fhir:value "General specifications for this substance, including how it is related to other substances" ];
       fhir:ElementDefinition.definition [ fhir:value "General specifications for this substance, including how it is related to other substances." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 28;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property.id" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.value [ fhir:value "string" ]
         ];
         fhir:ElementDefinition.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 29;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property.extension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 30;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 31;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property.category" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.category" ];
       fhir:ElementDefinition.short [ fhir:value "A category for this property, e.g. Physical, Chemical, Enzymatic" ];
       fhir:ElementDefinition.definition [ fhir:value "A category for this property, e.g. Physical, Chemical, Enzymatic." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.category" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 32;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property.code" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.code" ];
       fhir:ElementDefinition.short [ fhir:value "Property type e.g. viscosity, pH, isoelectric point" ];
       fhir:ElementDefinition.definition [ fhir:value "Property type e.g. viscosity, pH, isoelectric point." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.code" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 33;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property.parameters" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.parameters" ];
       fhir:ElementDefinition.short [ fhir:value "Parameters that were used in the measurement of a property (e.g. for viscosity: measured at 20C with a pH of 7.1)" ];
       fhir:ElementDefinition.definition [ fhir:value "Parameters that were used in the measurement of a property (e.g. for viscosity: measured at 20C with a pH of 7.1)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.parameters" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 34;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property.definingSubstance[x]" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.definingSubstance[x]" ];
       fhir:ElementDefinition.short [ fhir:value "A substance upon which a defining property depends (e.g. for solubility: in water, in alcohol)" ];
       fhir:ElementDefinition.definition [ fhir:value "A substance upon which a defining property depends (e.g. for solubility: in water, in alcohol)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.definingSubstance[x]" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstanceSpecification";
           fhir:index 0
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Substance";
           fhir:index 1
         ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 35;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property.amount[x]" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.amount[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Quantitative value for this property" ];
       fhir:ElementDefinition.definition [ fhir:value "Quantitative value for this property." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.amount[x]" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 36;
       fhir:Element.id [ fhir:value "SubstanceSpecification.referenceInformation" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.referenceInformation" ];
       fhir:ElementDefinition.short [ fhir:value "General information detailing this substance" ];
       fhir:ElementDefinition.definition [ fhir:value "General information detailing this substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.referenceInformation" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstanceReferenceInformation";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 37;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure" ];
       fhir:ElementDefinition.short [ fhir:value "Structural information" ];
       fhir:ElementDefinition.definition [ fhir:value "Structural information." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 38;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.id" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.value [ fhir:value "string" ]
         ];
         fhir:ElementDefinition.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 39;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.extension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 40;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 41;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.stereochemistry" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.stereochemistry" ];
       fhir:ElementDefinition.short [ fhir:value "Stereochemistry type" ];
       fhir:ElementDefinition.definition [ fhir:value "Stereochemistry type." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.stereochemistry" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 42;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.opticalActivity" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.opticalActivity" ];
       fhir:ElementDefinition.short [ fhir:value "Optical activity type" ];
       fhir:ElementDefinition.definition [ fhir:value "Optical activity type." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.opticalActivity" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 43;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.molecularFormula" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.molecularFormula" ];
       fhir:ElementDefinition.short [ fhir:value "Molecular formula" ];
       fhir:ElementDefinition.definition [ fhir:value "Molecular formula." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.molecularFormula" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 44;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.molecularFormulaByMoiety" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.molecularFormulaByMoiety" ];
       fhir:ElementDefinition.short [ fhir:value "Specified per moiety according to the Hill system, i.e. first C, then H, then alphabetical, each moiety separated by a dot" ];
       fhir:ElementDefinition.definition [ fhir:value "Specified per moiety according to the Hill system, i.e. first C, then H, then alphabetical, each moiety separated by a dot." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.molecularFormulaByMoiety" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 45;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope" ];
       fhir:ElementDefinition.short [ fhir:value "Applicable for single substances that contain a radionuclide or a non-natural isotopic ratio" ];
       fhir:ElementDefinition.definition [ fhir:value "Applicable for single substances that contain a radionuclide or a non-natural isotopic ratio." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 46;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.id" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.value [ fhir:value "string" ]
         ];
         fhir:ElementDefinition.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 47;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.extension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 48;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 49;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "Substance identifier for each non-natural or radioisotope" ];
       fhir:ElementDefinition.definition [ fhir:value "Substance identifier for each non-natural or radioisotope." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.identifier" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Identifier" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 50;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.name" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.name" ];
       fhir:ElementDefinition.short [ fhir:value "Substance name for each non-natural or radioisotope" ];
       fhir:ElementDefinition.definition [ fhir:value "Substance name for each non-natural or radioisotope." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.name" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 51;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.substitution" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.substitution" ];
       fhir:ElementDefinition.short [ fhir:value "The type of isotopic substitution present in a single substance" ];
       fhir:ElementDefinition.definition [ fhir:value "The type of isotopic substitution present in a single substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.substitution" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 52;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.halfLife" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.halfLife" ];
       fhir:ElementDefinition.short [ fhir:value "Half life - for a non-natural nuclide" ];
       fhir:ElementDefinition.definition [ fhir:value "Half life - for a non-natural nuclide." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.halfLife" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 53;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight" ];
       fhir:ElementDefinition.short [ fhir:value "The molecular weight or weight range (for proteins, polymers or nucleic acids)" ];
       fhir:ElementDefinition.definition [ fhir:value "The molecular weight or weight range (for proteins, polymers or nucleic acids)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 54;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.id" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.value [ fhir:value "string" ]
         ];
         fhir:ElementDefinition.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 55;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.extension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 56;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 57;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.method" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.method" ];
       fhir:ElementDefinition.short [ fhir:value "The method by which the molecular weight was determined" ];
       fhir:ElementDefinition.definition [ fhir:value "The method by which the molecular weight was determined." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.method" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 58;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.type" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.type" ];
       fhir:ElementDefinition.short [ fhir:value "Type of molecular weight such as exact, average (also known as. number average), weight average" ];
       fhir:ElementDefinition.definition [ fhir:value "Type of molecular weight such as exact, average (also known as. number average), weight average." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.type" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 59;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.amount" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.amount" ];
       fhir:ElementDefinition.short [ fhir:value "Used to capture quantitative values for a variety of elements. If only limits are given, the arithmetic mean would be the average. If only a single definite value for a given element is given, it would be captured in this field" ];
       fhir:ElementDefinition.definition [ fhir:value "Used to capture quantitative values for a variety of elements. If only limits are given, the arithmetic mean would be the average. If only a single definite value for a given element is given, it would be captured in this field." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.amount" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 60;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.molecularWeight" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.molecularWeight" ];
       fhir:ElementDefinition.short [ fhir:value "The molecular weight or weight range (for proteins, polymers or nucleic acids)" ];
       fhir:ElementDefinition.definition [ fhir:value "The molecular weight or weight range (for proteins, polymers or nucleic acids)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.molecularWeight" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.contentReference [ fhir:value "#SubstanceSpecification.structure.isotope.molecularWeight" ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 61;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.source" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.source" ];
       fhir:ElementDefinition.short [ fhir:value "Supporting literature" ];
       fhir:ElementDefinition.definition [ fhir:value "Supporting literature." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.source" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DocumentReference";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 62;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.representation" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation" ];
       fhir:ElementDefinition.short [ fhir:value "Molecular structural representation" ];
       fhir:ElementDefinition.definition [ fhir:value "Molecular structural representation." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 63;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.representation.id" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.value [ fhir:value "string" ]
         ];
         fhir:ElementDefinition.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 64;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.representation.extension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 65;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.representation.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 66;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.representation.type" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation.type" ];
       fhir:ElementDefinition.short [ fhir:value "The type of structure (e.g. Full, Partial, Representative)" ];
       fhir:ElementDefinition.definition [ fhir:value "The type of structure (e.g. Full, Partial, Representative)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation.type" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 67;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.representation.representation" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation.representation" ];
       fhir:ElementDefinition.short [ fhir:value "The structural representation as text string in a format e.g. InChI, SMILES, MOLFILE, CDX" ];
       fhir:ElementDefinition.definition [ fhir:value "The structural representation as text string in a format e.g. InChI, SMILES, MOLFILE, CDX." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation.representation" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 68;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.representation.attachment" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation.attachment" ];
       fhir:ElementDefinition.short [ fhir:value "An attached file with the structural representation" ];
       fhir:ElementDefinition.definition [ fhir:value "An attached file with the structural representation." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation.attachment" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Attachment" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 69;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code" ];
       fhir:ElementDefinition.short [ fhir:value "Codes associated with the substance" ];
       fhir:ElementDefinition.definition [ fhir:value "Codes associated with the substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 70;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code.id" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.value [ fhir:value "string" ]
         ];
         fhir:ElementDefinition.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 71;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code.extension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 72;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 73;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code.code" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.code" ];
       fhir:ElementDefinition.short [ fhir:value "The specific code" ];
       fhir:ElementDefinition.definition [ fhir:value "The specific code." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.code" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 74;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code.status" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.status" ];
       fhir:ElementDefinition.short [ fhir:value "Status of the code assignment" ];
       fhir:ElementDefinition.definition [ fhir:value "Status of the code assignment." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.status" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 75;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code.statusDate" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.statusDate" ];
       fhir:ElementDefinition.short [ fhir:value "The date at which the code status is changed as part of the terminology maintenance" ];
       fhir:ElementDefinition.definition [ fhir:value "The date at which the code status is changed as part of the terminology maintenance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.statusDate" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "dateTime" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 76;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code.comment" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.comment" ];
       fhir:ElementDefinition.short [ fhir:value "Any comment can be provided in this field, if necessary" ];
       fhir:ElementDefinition.definition [ fhir:value "Any comment can be provided in this field, if necessary." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.comment" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 77;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code.source" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.source" ];
       fhir:ElementDefinition.short [ fhir:value "Supporting literature" ];
       fhir:ElementDefinition.definition [ fhir:value "Supporting literature." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.source" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DocumentReference";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 78;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name" ];
       fhir:ElementDefinition.short [ fhir:value "Names applicable to this substance" ];
       fhir:ElementDefinition.definition [ fhir:value "Names applicable to this substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 79;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.id" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.value [ fhir:value "string" ]
         ];
         fhir:ElementDefinition.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 80;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.extension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 81;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 82;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.name" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.name" ];
       fhir:ElementDefinition.short [ fhir:value "The actual name" ];
       fhir:ElementDefinition.definition [ fhir:value "The actual name." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.name" ];
         fhir:ElementDefinition.min [ fhir:value "1" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 83;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.type" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.type" ];
       fhir:ElementDefinition.short [ fhir:value "Name type" ];
       fhir:ElementDefinition.definition [ fhir:value "Name type." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.type" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 84;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.status" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.status" ];
       fhir:ElementDefinition.short [ fhir:value "The status of the name" ];
       fhir:ElementDefinition.definition [ fhir:value "The status of the name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.status" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 85;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.preferred" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.preferred" ];
       fhir:ElementDefinition.short [ fhir:value "If this is the preferred name for this substance" ];
       fhir:ElementDefinition.definition [ fhir:value "If this is the preferred name for this substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.preferred" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "boolean" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 86;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.language" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.language" ];
       fhir:ElementDefinition.short [ fhir:value "Language of the name" ];
       fhir:ElementDefinition.definition [ fhir:value "Language of the name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.language" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 87;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.domain" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.domain" ];
       fhir:ElementDefinition.short [ fhir:value "The use context of this name for example if there is a different name a drug active ingredient as opposed to a food colour additive" ];
       fhir:ElementDefinition.definition [ fhir:value "The use context of this name for example if there is a different name a drug active ingredient as opposed to a food colour additive." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.domain" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 88;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.jurisdiction" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.jurisdiction" ];
       fhir:ElementDefinition.short [ fhir:value "The jurisdiction where this name applies" ];
       fhir:ElementDefinition.definition [ fhir:value "The jurisdiction where this name applies." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.jurisdiction" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 89;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.synonym" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.synonym" ];
       fhir:ElementDefinition.short [ fhir:value "A synonym of this name" ];
       fhir:ElementDefinition.definition [ fhir:value "A synonym of this name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.synonym" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.contentReference [ fhir:value "#SubstanceSpecification.name" ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 90;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.translation" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.translation" ];
       fhir:ElementDefinition.short [ fhir:value "A translation for this name" ];
       fhir:ElementDefinition.definition [ fhir:value "A translation for this name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.translation" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.contentReference [ fhir:value "#SubstanceSpecification.name" ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 91;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.official" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official" ];
       fhir:ElementDefinition.short [ fhir:value "Details of the official nature of this name" ];
       fhir:ElementDefinition.definition [ fhir:value "Details of the official nature of this name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 92;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.official.id" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.value [ fhir:value "string" ]
         ];
         fhir:ElementDefinition.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 93;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.official.extension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 94;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.official.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 95;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.official.authority" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official.authority" ];
       fhir:ElementDefinition.short [ fhir:value "Which authority uses this official name" ];
       fhir:ElementDefinition.definition [ fhir:value "Which authority uses this official name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official.authority" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 96;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.official.status" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official.status" ];
       fhir:ElementDefinition.short [ fhir:value "The status of the official name" ];
       fhir:ElementDefinition.definition [ fhir:value "The status of the official name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official.status" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 97;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.official.date" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official.date" ];
       fhir:ElementDefinition.short [ fhir:value "Date of official name change" ];
       fhir:ElementDefinition.definition [ fhir:value "Date of official name change." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official.date" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "dateTime" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 98;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.source" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.source" ];
       fhir:ElementDefinition.short [ fhir:value "Supporting literature" ];
       fhir:ElementDefinition.definition [ fhir:value "Supporting literature." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.source" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DocumentReference";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 99;
       fhir:Element.id [ fhir:value "SubstanceSpecification.molecularWeight" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.molecularWeight" ];
       fhir:ElementDefinition.short [ fhir:value "The molecular weight or weight range (for proteins, polymers or nucleic acids)" ];
       fhir:ElementDefinition.definition [ fhir:value "The molecular weight or weight range (for proteins, polymers or nucleic acids)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.molecularWeight" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.contentReference [ fhir:value "#SubstanceSpecification.structure.isotope.molecularWeight" ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 100;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship" ];
       fhir:ElementDefinition.short [ fhir:value "A link between this substance and another, with details of the relationship" ];
       fhir:ElementDefinition.definition [ fhir:value "A link between this substance and another, with details of the relationship." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 101;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.id" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0
       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.id" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ];
           fhir:Extension.value [ fhir:value "string" ]
         ];
         fhir:ElementDefinition.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 102;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.extension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.extension" ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "false" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 103;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.modifierExtension" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.modifierExtension" ];
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension)." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0
       ], [
         fhir:value "user content";
         fhir:index 1
       ], [
         fhir:value "modifiers";
         fhir:index 2
       ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "BackboneElement.modifierExtension" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Extension" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.key [ fhir:value "ext-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "Must have either extensions or value[x], not both" ];
         fhir:ElementDefinition.expression [ fhir:value "extension.exists() != value.exists()" ];
         fhir:ElementDefinition.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "true" ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 104;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.substance[x]" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.substance[x]" ];
       fhir:ElementDefinition.short [ fhir:value "A pointer to another substance, as a resource or just a representational code" ];
       fhir:ElementDefinition.definition [ fhir:value "A pointer to another substance, as a resource or just a representational code." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.substance[x]" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstanceSpecification";
           fhir:index 0
         ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 105;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.relationship" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.relationship" ];
       fhir:ElementDefinition.short [ fhir:value "For example \"salt to parent\", \"active moiety\", \"starting material\"" ];
       fhir:ElementDefinition.definition [ fhir:value "For example \"salt to parent\", \"active moiety\", \"starting material\"." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.relationship" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 106;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.isDefining" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.isDefining" ];
       fhir:ElementDefinition.short [ fhir:value "For example where an enzyme strongly bonds with a particular substance, this is a defining relationship for that enzyme, out of several possible substance relationships" ];
       fhir:ElementDefinition.definition [ fhir:value "For example where an enzyme strongly bonds with a particular substance, this is a defining relationship for that enzyme, out of several possible substance relationships." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.isDefining" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "boolean" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 107;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.amount[x]" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.amount[x]" ];
       fhir:ElementDefinition.short [ fhir:value "A numeric factor for the relationship, for instance to express that the salt of a substance has some percentage of the active substance in relation to some other" ];
       fhir:ElementDefinition.definition [ fhir:value "A numeric factor for the relationship, for instance to express that the salt of a substance has some percentage of the active substance in relation to some other." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.amount[x]" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "Range" ]
       ], [
         fhir:index 2;
         fhir:ElementDefinition.code [ fhir:value "Ratio" ]
       ], [
         fhir:index 3;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 108;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.amountRatioLowLimit" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.amountRatioLowLimit" ];
       fhir:ElementDefinition.short [ fhir:value "For use when the numeric" ];
       fhir:ElementDefinition.definition [ fhir:value "For use when the numeric." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.amountRatioLowLimit" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Ratio" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 109;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.amountType" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.amountType" ];
       fhir:ElementDefinition.short [ fhir:value "An operator for the amount, for example \"average\", \"approximately\", \"less than\"" ];
       fhir:ElementDefinition.definition [ fhir:value "An operator for the amount, for example \"average\", \"approximately\", \"less than\"." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.amountType" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 110;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.source" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.source" ];
       fhir:ElementDefinition.short [ fhir:value "Supporting literature" ];
       fhir:ElementDefinition.definition [ fhir:value "Supporting literature." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.source" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "*" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DocumentReference";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 111;
       fhir:Element.id [ fhir:value "SubstanceSpecification.nucleicAcid" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.nucleicAcid" ];
       fhir:ElementDefinition.short [ fhir:value "Data items specific to nucleic acids" ];
       fhir:ElementDefinition.definition [ fhir:value "Data items specific to nucleic acids." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.nucleicAcid" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstanceNucleicAcid";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 112;
       fhir:Element.id [ fhir:value "SubstanceSpecification.polymer" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.polymer" ];
       fhir:ElementDefinition.short [ fhir:value "Data items specific to polymers" ];
       fhir:ElementDefinition.definition [ fhir:value "Data items specific to polymers." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.polymer" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstancePolymer";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 113;
       fhir:Element.id [ fhir:value "SubstanceSpecification.protein" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.protein" ];
       fhir:ElementDefinition.short [ fhir:value "Data items specific to proteins" ];
       fhir:ElementDefinition.definition [ fhir:value "Data items specific to proteins." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.protein" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstanceProtein";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 114;
       fhir:Element.id [ fhir:value "SubstanceSpecification.sourceMaterial" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.sourceMaterial" ];
       fhir:ElementDefinition.short [ fhir:value "Material or taxonomic/anatomical source for the substance" ];
       fhir:ElementDefinition.definition [ fhir:value "Material or taxonomic/anatomical source for the substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.sourceMaterial" ];
         fhir:ElementDefinition.min [ fhir:value "0" ];
         fhir:ElementDefinition.max [ fhir:value "1" ]
       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstanceSourceMaterial";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.constraint [
         fhir:index 0;
         fhir:ElementDefinition.key [ fhir:value "ele-1" ];
         fhir:ElementDefinition.severity [ fhir:value "error" ];
         fhir:ElementDefinition.human [ fhir:value "All FHIR elements must have a @value or children" ];
         fhir:ElementDefinition.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
         fhir:ElementDefinition.xpath [ fhir:value "@value|f:*|h:div" ];
         fhir:ElementDefinition.source [ fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ]
       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ]
  ];
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.element [
       fhir:index 0;
       fhir:Element.id [ fhir:value "SubstanceSpecification" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification" ];
       fhir:ElementDefinition.short [ fhir:value "The detailed description of a substance, typically at a level beyond what is used for prescribing" ];
       fhir:ElementDefinition.definition [ fhir:value "The detailed description of a substance, typically at a level beyond what is used for prescribing." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ]
     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "SubstanceSpecification.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "Identifier by which this substance is known" ];
       fhir:ElementDefinition.definition [ fhir:value "Identifier by which this substance is known." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Identifier" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "SubstanceSpecification.type" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.type" ];
       fhir:ElementDefinition.short [ fhir:value "High level categorization, e.g. polymer or nucleic acid" ];
       fhir:ElementDefinition.definition [ fhir:value "High level categorization, e.g. polymer or nucleic acid." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "SubstanceSpecification.status" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.status" ];
       fhir:ElementDefinition.short [ fhir:value "Status of substance within the catalogue e.g. approved" ];
       fhir:ElementDefinition.definition [ fhir:value "Status of substance within the catalogue e.g. approved." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "SubstanceSpecification.domain" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.domain" ];
       fhir:ElementDefinition.short [ fhir:value "If the substance applies to only human or veterinary use" ];
       fhir:ElementDefinition.definition [ fhir:value "If the substance applies to only human or veterinary use." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 5;
       fhir:Element.id [ fhir:value "SubstanceSpecification.description" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.description" ];
       fhir:ElementDefinition.short [ fhir:value "Textual description of the substance" ];
       fhir:ElementDefinition.definition [ fhir:value "Textual description of the substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 6;
       fhir:Element.id [ fhir:value "SubstanceSpecification.source" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.source" ];
       fhir:ElementDefinition.short [ fhir:value "Supporting literature" ];
       fhir:ElementDefinition.definition [ fhir:value "Supporting literature." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DocumentReference";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 7;
       fhir:Element.id [ fhir:value "SubstanceSpecification.comment" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.comment" ];
       fhir:ElementDefinition.short [ fhir:value "Textual comment about this record of a substance" ];
       fhir:ElementDefinition.definition [ fhir:value "Textual comment about this record of a substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 8;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety" ];
       fhir:ElementDefinition.short [ fhir:value "Moiety, for structural modifications" ];
       fhir:ElementDefinition.definition [ fhir:value "Moiety, for structural modifications." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 9;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.role" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.role" ];
       fhir:ElementDefinition.short [ fhir:value "Role that the moiety is playing" ];
       fhir:ElementDefinition.definition [ fhir:value "Role that the moiety is playing." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 10;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "Identifier by which this moiety substance is known" ];
       fhir:ElementDefinition.definition [ fhir:value "Identifier by which this moiety substance is known." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Identifier" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 11;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.name" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.name" ];
       fhir:ElementDefinition.short [ fhir:value "Textual name for this moiety substance" ];
       fhir:ElementDefinition.definition [ fhir:value "Textual name for this moiety substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 12;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.stereochemistry" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.stereochemistry" ];
       fhir:ElementDefinition.short [ fhir:value "Stereochemistry type" ];
       fhir:ElementDefinition.definition [ fhir:value "Stereochemistry type." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 13;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.opticalActivity" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.opticalActivity" ];
       fhir:ElementDefinition.short [ fhir:value "Optical activity type" ];
       fhir:ElementDefinition.definition [ fhir:value "Optical activity type." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 14;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.molecularFormula" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.molecularFormula" ];
       fhir:ElementDefinition.short [ fhir:value "Molecular formula" ];
       fhir:ElementDefinition.definition [ fhir:value "Molecular formula." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 15;
       fhir:Element.id [ fhir:value "SubstanceSpecification.moiety.amount[x]" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.moiety.amount[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Quantitative value for this moiety" ];
       fhir:ElementDefinition.definition [ fhir:value "Quantitative value for this moiety." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 16;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property" ];
       fhir:ElementDefinition.short [ fhir:value "General specifications for this substance, including how it is related to other substances" ];
       fhir:ElementDefinition.definition [ fhir:value "General specifications for this substance, including how it is related to other substances." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 17;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property.category" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.category" ];
       fhir:ElementDefinition.short [ fhir:value "A category for this property, e.g. Physical, Chemical, Enzymatic" ];
       fhir:ElementDefinition.definition [ fhir:value "A category for this property, e.g. Physical, Chemical, Enzymatic." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 18;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property.code" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.code" ];
       fhir:ElementDefinition.short [ fhir:value "Property type e.g. viscosity, pH, isoelectric point" ];
       fhir:ElementDefinition.definition [ fhir:value "Property type e.g. viscosity, pH, isoelectric point." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 19;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property.parameters" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.parameters" ];
       fhir:ElementDefinition.short [ fhir:value "Parameters that were used in the measurement of a property (e.g. for viscosity: measured at 20C with a pH of 7.1)" ];
       fhir:ElementDefinition.definition [ fhir:value "Parameters that were used in the measurement of a property (e.g. for viscosity: measured at 20C with a pH of 7.1)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 20;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property.definingSubstance[x]" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.definingSubstance[x]" ];
       fhir:ElementDefinition.short [ fhir:value "A substance upon which a defining property depends (e.g. for solubility: in water, in alcohol)" ];
       fhir:ElementDefinition.definition [ fhir:value "A substance upon which a defining property depends (e.g. for solubility: in water, in alcohol)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstanceSpecification";
           fhir:index 0
         ], [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Substance";
           fhir:index 1
         ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 21;
       fhir:Element.id [ fhir:value "SubstanceSpecification.property.amount[x]" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.property.amount[x]" ];
       fhir:ElementDefinition.short [ fhir:value "Quantitative value for this property" ];
       fhir:ElementDefinition.definition [ fhir:value "Quantitative value for this property." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 22;
       fhir:Element.id [ fhir:value "SubstanceSpecification.referenceInformation" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.referenceInformation" ];
       fhir:ElementDefinition.short [ fhir:value "General information detailing this substance" ];
       fhir:ElementDefinition.definition [ fhir:value "General information detailing this substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstanceReferenceInformation";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 23;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure" ];
       fhir:ElementDefinition.short [ fhir:value "Structural information" ];
       fhir:ElementDefinition.definition [ fhir:value "Structural information." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 24;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.stereochemistry" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.stereochemistry" ];
       fhir:ElementDefinition.short [ fhir:value "Stereochemistry type" ];
       fhir:ElementDefinition.definition [ fhir:value "Stereochemistry type." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 25;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.opticalActivity" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.opticalActivity" ];
       fhir:ElementDefinition.short [ fhir:value "Optical activity type" ];
       fhir:ElementDefinition.definition [ fhir:value "Optical activity type." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 26;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.molecularFormula" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.molecularFormula" ];
       fhir:ElementDefinition.short [ fhir:value "Molecular formula" ];
       fhir:ElementDefinition.definition [ fhir:value "Molecular formula." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 27;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.molecularFormulaByMoiety" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.molecularFormulaByMoiety" ];
       fhir:ElementDefinition.short [ fhir:value "Specified per moiety according to the Hill system, i.e. first C, then H, then alphabetical, each moiety separated by a dot" ];
       fhir:ElementDefinition.definition [ fhir:value "Specified per moiety according to the Hill system, i.e. first C, then H, then alphabetical, each moiety separated by a dot." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 28;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope" ];
       fhir:ElementDefinition.short [ fhir:value "Applicable for single substances that contain a radionuclide or a non-natural isotopic ratio" ];
       fhir:ElementDefinition.definition [ fhir:value "Applicable for single substances that contain a radionuclide or a non-natural isotopic ratio." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 29;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.identifier" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.identifier" ];
       fhir:ElementDefinition.short [ fhir:value "Substance identifier for each non-natural or radioisotope" ];
       fhir:ElementDefinition.definition [ fhir:value "Substance identifier for each non-natural or radioisotope." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Identifier" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 30;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.name" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.name" ];
       fhir:ElementDefinition.short [ fhir:value "Substance name for each non-natural or radioisotope" ];
       fhir:ElementDefinition.definition [ fhir:value "Substance name for each non-natural or radioisotope." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 31;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.substitution" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.substitution" ];
       fhir:ElementDefinition.short [ fhir:value "The type of isotopic substitution present in a single substance" ];
       fhir:ElementDefinition.definition [ fhir:value "The type of isotopic substitution present in a single substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 32;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.halfLife" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.halfLife" ];
       fhir:ElementDefinition.short [ fhir:value "Half life - for a non-natural nuclide" ];
       fhir:ElementDefinition.definition [ fhir:value "Half life - for a non-natural nuclide." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 33;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight" ];
       fhir:ElementDefinition.short [ fhir:value "The molecular weight or weight range (for proteins, polymers or nucleic acids)" ];
       fhir:ElementDefinition.definition [ fhir:value "The molecular weight or weight range (for proteins, polymers or nucleic acids)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 34;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.method" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.method" ];
       fhir:ElementDefinition.short [ fhir:value "The method by which the molecular weight was determined" ];
       fhir:ElementDefinition.definition [ fhir:value "The method by which the molecular weight was determined." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 35;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.type" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.type" ];
       fhir:ElementDefinition.short [ fhir:value "Type of molecular weight such as exact, average (also known as. number average), weight average" ];
       fhir:ElementDefinition.definition [ fhir:value "Type of molecular weight such as exact, average (also known as. number average), weight average." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 36;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.amount" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.isotope.molecularWeight.amount" ];
       fhir:ElementDefinition.short [ fhir:value "Used to capture quantitative values for a variety of elements. If only limits are given, the arithmetic mean would be the average. If only a single definite value for a given element is given, it would be captured in this field" ];
       fhir:ElementDefinition.definition [ fhir:value "Used to capture quantitative values for a variety of elements. If only limits are given, the arithmetic mean would be the average. If only a single definite value for a given element is given, it would be captured in this field." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 37;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.molecularWeight" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.molecularWeight" ];
       fhir:ElementDefinition.short [ fhir:value "The molecular weight or weight range (for proteins, polymers or nucleic acids)" ];
       fhir:ElementDefinition.definition [ fhir:value "The molecular weight or weight range (for proteins, polymers or nucleic acids)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.contentReference [ fhir:value "#SubstanceSpecification.structure.isotope.molecularWeight" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 38;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.source" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.source" ];
       fhir:ElementDefinition.short [ fhir:value "Supporting literature" ];
       fhir:ElementDefinition.definition [ fhir:value "Supporting literature." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DocumentReference";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 39;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.representation" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation" ];
       fhir:ElementDefinition.short [ fhir:value "Molecular structural representation" ];
       fhir:ElementDefinition.definition [ fhir:value "Molecular structural representation." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 40;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.representation.type" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation.type" ];
       fhir:ElementDefinition.short [ fhir:value "The type of structure (e.g. Full, Partial, Representative)" ];
       fhir:ElementDefinition.definition [ fhir:value "The type of structure (e.g. Full, Partial, Representative)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 41;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.representation.representation" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation.representation" ];
       fhir:ElementDefinition.short [ fhir:value "The structural representation as text string in a format e.g. InChI, SMILES, MOLFILE, CDX" ];
       fhir:ElementDefinition.definition [ fhir:value "The structural representation as text string in a format e.g. InChI, SMILES, MOLFILE, CDX." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 42;
       fhir:Element.id [ fhir:value "SubstanceSpecification.structure.representation.attachment" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.structure.representation.attachment" ];
       fhir:ElementDefinition.short [ fhir:value "An attached file with the structural representation" ];
       fhir:ElementDefinition.definition [ fhir:value "An attached file with the structural representation." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Attachment" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 43;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code" ];
       fhir:ElementDefinition.short [ fhir:value "Codes associated with the substance" ];
       fhir:ElementDefinition.definition [ fhir:value "Codes associated with the substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 44;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code.code" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.code" ];
       fhir:ElementDefinition.short [ fhir:value "The specific code" ];
       fhir:ElementDefinition.definition [ fhir:value "The specific code." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 45;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code.status" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.status" ];
       fhir:ElementDefinition.short [ fhir:value "Status of the code assignment" ];
       fhir:ElementDefinition.definition [ fhir:value "Status of the code assignment." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 46;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code.statusDate" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.statusDate" ];
       fhir:ElementDefinition.short [ fhir:value "The date at which the code status is changed as part of the terminology maintenance" ];
       fhir:ElementDefinition.definition [ fhir:value "The date at which the code status is changed as part of the terminology maintenance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "dateTime" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 47;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code.comment" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.comment" ];
       fhir:ElementDefinition.short [ fhir:value "Any comment can be provided in this field, if necessary" ];
       fhir:ElementDefinition.definition [ fhir:value "Any comment can be provided in this field, if necessary." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 48;
       fhir:Element.id [ fhir:value "SubstanceSpecification.code.source" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.code.source" ];
       fhir:ElementDefinition.short [ fhir:value "Supporting literature" ];
       fhir:ElementDefinition.definition [ fhir:value "Supporting literature." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DocumentReference";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 49;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name" ];
       fhir:ElementDefinition.short [ fhir:value "Names applicable to this substance" ];
       fhir:ElementDefinition.definition [ fhir:value "Names applicable to this substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 50;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.name" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.name" ];
       fhir:ElementDefinition.short [ fhir:value "The actual name" ];
       fhir:ElementDefinition.definition [ fhir:value "The actual name." ];
       fhir:ElementDefinition.min [ fhir:value "1" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 51;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.type" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.type" ];
       fhir:ElementDefinition.short [ fhir:value "Name type" ];
       fhir:ElementDefinition.definition [ fhir:value "Name type." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 52;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.status" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.status" ];
       fhir:ElementDefinition.short [ fhir:value "The status of the name" ];
       fhir:ElementDefinition.definition [ fhir:value "The status of the name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 53;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.preferred" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.preferred" ];
       fhir:ElementDefinition.short [ fhir:value "If this is the preferred name for this substance" ];
       fhir:ElementDefinition.definition [ fhir:value "If this is the preferred name for this substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "boolean" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 54;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.language" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.language" ];
       fhir:ElementDefinition.short [ fhir:value "Language of the name" ];
       fhir:ElementDefinition.definition [ fhir:value "Language of the name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 55;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.domain" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.domain" ];
       fhir:ElementDefinition.short [ fhir:value "The use context of this name for example if there is a different name a drug active ingredient as opposed to a food colour additive" ];
       fhir:ElementDefinition.definition [ fhir:value "The use context of this name for example if there is a different name a drug active ingredient as opposed to a food colour additive." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 56;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.jurisdiction" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.jurisdiction" ];
       fhir:ElementDefinition.short [ fhir:value "The jurisdiction where this name applies" ];
       fhir:ElementDefinition.definition [ fhir:value "The jurisdiction where this name applies." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 57;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.synonym" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.synonym" ];
       fhir:ElementDefinition.short [ fhir:value "A synonym of this name" ];
       fhir:ElementDefinition.definition [ fhir:value "A synonym of this name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.contentReference [ fhir:value "#SubstanceSpecification.name" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 58;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.translation" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.translation" ];
       fhir:ElementDefinition.short [ fhir:value "A translation for this name" ];
       fhir:ElementDefinition.definition [ fhir:value "A translation for this name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.contentReference [ fhir:value "#SubstanceSpecification.name" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 59;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.official" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official" ];
       fhir:ElementDefinition.short [ fhir:value "Details of the official nature of this name" ];
       fhir:ElementDefinition.definition [ fhir:value "Details of the official nature of this name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 60;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.official.authority" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official.authority" ];
       fhir:ElementDefinition.short [ fhir:value "Which authority uses this official name" ];
       fhir:ElementDefinition.definition [ fhir:value "Which authority uses this official name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 61;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.official.status" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official.status" ];
       fhir:ElementDefinition.short [ fhir:value "The status of the official name" ];
       fhir:ElementDefinition.definition [ fhir:value "The status of the official name." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 62;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.official.date" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.official.date" ];
       fhir:ElementDefinition.short [ fhir:value "Date of official name change" ];
       fhir:ElementDefinition.definition [ fhir:value "Date of official name change." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "dateTime" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 63;
       fhir:Element.id [ fhir:value "SubstanceSpecification.name.source" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.name.source" ];
       fhir:ElementDefinition.short [ fhir:value "Supporting literature" ];
       fhir:ElementDefinition.definition [ fhir:value "Supporting literature." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DocumentReference";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 64;
       fhir:Element.id [ fhir:value "SubstanceSpecification.molecularWeight" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.molecularWeight" ];
       fhir:ElementDefinition.short [ fhir:value "The molecular weight or weight range (for proteins, polymers or nucleic acids)" ];
       fhir:ElementDefinition.definition [ fhir:value "The molecular weight or weight range (for proteins, polymers or nucleic acids)." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.contentReference [ fhir:value "#SubstanceSpecification.structure.isotope.molecularWeight" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 65;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship" ];
       fhir:ElementDefinition.short [ fhir:value "A link between this substance and another, with details of the relationship" ];
       fhir:ElementDefinition.definition [ fhir:value "A link between this substance and another, with details of the relationship." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "BackboneElement" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 66;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.substance[x]" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.substance[x]" ];
       fhir:ElementDefinition.short [ fhir:value "A pointer to another substance, as a resource or just a representational code" ];
       fhir:ElementDefinition.definition [ fhir:value "A pointer to another substance, as a resource or just a representational code." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstanceSpecification";
           fhir:index 0
         ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 67;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.relationship" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.relationship" ];
       fhir:ElementDefinition.short [ fhir:value "For example \"salt to parent\", \"active moiety\", \"starting material\"" ];
       fhir:ElementDefinition.definition [ fhir:value "For example \"salt to parent\", \"active moiety\", \"starting material\"." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 68;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.isDefining" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.isDefining" ];
       fhir:ElementDefinition.short [ fhir:value "For example where an enzyme strongly bonds with a particular substance, this is a defining relationship for that enzyme, out of several possible substance relationships" ];
       fhir:ElementDefinition.definition [ fhir:value "For example where an enzyme strongly bonds with a particular substance, this is a defining relationship for that enzyme, out of several possible substance relationships." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "boolean" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 69;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.amount[x]" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.amount[x]" ];
       fhir:ElementDefinition.short [ fhir:value "A numeric factor for the relationship, for instance to express that the salt of a substance has some percentage of the active substance in relation to some other" ];
       fhir:ElementDefinition.definition [ fhir:value "A numeric factor for the relationship, for instance to express that the salt of a substance has some percentage of the active substance in relation to some other." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Quantity" ]
       ], [
         fhir:index 1;
         fhir:ElementDefinition.code [ fhir:value "Range" ]
       ], [
         fhir:index 2;
         fhir:ElementDefinition.code [ fhir:value "Ratio" ]
       ], [
         fhir:index 3;
         fhir:ElementDefinition.code [ fhir:value "string" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 70;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.amountRatioLowLimit" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.amountRatioLowLimit" ];
       fhir:ElementDefinition.short [ fhir:value "For use when the numeric" ];
       fhir:ElementDefinition.definition [ fhir:value "For use when the numeric." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Ratio" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 71;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.amountType" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.amountType" ];
       fhir:ElementDefinition.short [ fhir:value "An operator for the amount, for example \"average\", \"approximately\", \"less than\"" ];
       fhir:ElementDefinition.definition [ fhir:value "An operator for the amount, for example \"average\", \"approximately\", \"less than\"." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "CodeableConcept" ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 72;
       fhir:Element.id [ fhir:value "SubstanceSpecification.relationship.source" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.relationship.source" ];
       fhir:ElementDefinition.short [ fhir:value "Supporting literature" ];
       fhir:ElementDefinition.definition [ fhir:value "Supporting literature." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/DocumentReference";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 73;
       fhir:Element.id [ fhir:value "SubstanceSpecification.nucleicAcid" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.nucleicAcid" ];
       fhir:ElementDefinition.short [ fhir:value "Data items specific to nucleic acids" ];
       fhir:ElementDefinition.definition [ fhir:value "Data items specific to nucleic acids." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstanceNucleicAcid";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 74;
       fhir:Element.id [ fhir:value "SubstanceSpecification.polymer" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.polymer" ];
       fhir:ElementDefinition.short [ fhir:value "Data items specific to polymers" ];
       fhir:ElementDefinition.definition [ fhir:value "Data items specific to polymers." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstancePolymer";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 75;
       fhir:Element.id [ fhir:value "SubstanceSpecification.protein" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.protein" ];
       fhir:ElementDefinition.short [ fhir:value "Data items specific to proteins" ];
       fhir:ElementDefinition.definition [ fhir:value "Data items specific to proteins." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstanceProtein";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ], [
       fhir:index 76;
       fhir:Element.id [ fhir:value "SubstanceSpecification.sourceMaterial" ];
       fhir:ElementDefinition.path [ fhir:value "SubstanceSpecification.sourceMaterial" ];
       fhir:ElementDefinition.short [ fhir:value "Material or taxonomic/anatomical source for the substance" ];
       fhir:ElementDefinition.definition [ fhir:value "Material or taxonomic/anatomical source for the substance." ];
       fhir:ElementDefinition.min [ fhir:value "0" ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.code [ fhir:value "Reference" ];
         fhir:ElementDefinition.targetProfile [
           fhir:value "http://hl7.org/fhir/StructureDefinition/SubstanceSourceMaterial";
           fhir:index 0
         ]
       ];
       fhir:ElementDefinition.isSummary [ fhir:value "true" ]
     ]
  ] .

# -------------------------------------------------------------------------------------


Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.