Dental Data Exchange
1.0.0 - STU 1

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## Resource Profile: DentalReferralNote - TTL Profile

TTL representation of the dental-referral-note resource profile.

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <http://loinc.org/rdf#> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

     a fhir:StructureDefinition;
      fhir:nodeRole fhir:treeRoot;
      fhir:Resource.id [ fhir:value "dental-referral-note"];
      fhir:Resource.meta [
         fhir:Meta.versionId [ fhir:value "12" ];
         fhir:Meta.lastUpdated [ fhir:value "2021-08-26T15:07:06.346+00:00"^^xsd:dateTime ];
         fhir:Meta.source [ fhir:value "#3PZTs15SkxkzBEUE" ]
      ];
      fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "extensions" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition\">Composition</a><a name=\"Composition\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/us/ccda/STU1.1/StructureDefinition-Referral-Note.html\">ReferralNote</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">A set of resources composed into a single coherent clinical statement with clinical attestation</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.type\">type</a><a name=\"Composition.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Dentistry Referral note<br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/loinc.html\">http://loinc.org</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">57134-9</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section\">Slices for section</a><a name=\"Composition.section\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Composition is broken into sections</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:code</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck033.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> section:All Slices<a name=\"Composition.section\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0322.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section.entry\">Slices for entry</a><a name=\"Composition.section.entry\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/references.html\">Reference</a><span style=\"font-style: italic\">(</span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a><span style=\"font-style: italic\">)</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">A reference to data that supports this section</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by profile:resolve()</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:plan_of_treatment_section\" title=\"Slice plan_of_treatment_section\">section:plan_of_treatment_section</a><a name=\"Composition.section\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Plan of Treatment Section</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0342.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:plan_of_treatment_section.entry\">Slices for entry</a><a name=\"Composition.section.entry\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/references.html\">Reference</a><span style=\"font-style: italic\">(</span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a><span style=\"font-style: italic\">)</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\">entry</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by profile:resolve()</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:assessment_section\" title=\"Slice assessment_section\">section:assessment_section</a><a name=\"Composition.section\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Assessment Section</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:history_of_present_illness_section\" title=\"Slice history_of_present_illness_section\">section:history_of_present_illness_section</a><a name=\"Composition.section\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">History of Present Illness Section</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck034.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:procedures_section\" title=\"Slice procedures_section\">section:procedures_section</a><a name=\"Composition.section\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Procedures Section</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:instructions\" title=\"Slice instructions\">section:instructions</a><a name=\"Composition.section\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span>..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Composition is broken into sections</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:instructions.title\">title</a><a name=\"Composition.section.title\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">title</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0351.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:instructions.code\">code</a><a name=\"Composition.section.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of section (recommended)</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/loinc.html\">http://loinc.org</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">69730-0</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0343.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:instructions.entry\">Slices for entry</a><a name=\"Composition.section.entry\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/references.html\">Reference</a><span style=\"font-style: italic\">(</span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a><span style=\"font-style: italic\">)</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">A reference to data that supports this section</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by profile:resolve()</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03424.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:instructions.entry:dental_instructions\" title=\"Slice dental_instructions\">entry:dental_instructions</a><a name=\"Composition.section.entry\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span>..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-dental-communication.html\">Dental Communication</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">A reference to data that supports this section</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:dental_findings_section\" title=\"Slice dental_findings_section\">section:dental_findings_section</a><a name=\"Composition.section\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span>..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Composition is broken into sections</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0350.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:dental_findings_section.title\">title</a><a name=\"Composition.section.title\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">title</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0351.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:dental_findings_section.code\">code</a><a name=\"Composition.section.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of section (recommended)</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/loinc.html\">http://loinc.org</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck035000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">8704-9</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0343.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:dental_findings_section.entry\">Slices for entry</a><a name=\"Composition.section.entry\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/references.html\">Reference</a><span style=\"font-style: italic\">(</span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a><span style=\"font-style: italic\">)</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">A reference to data that supports this section</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by profile:resolve()</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03424.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:dental_findings_section.entry:dental_findings_entry\" title=\"Slice dental_findings_entry\">entry:dental_findings_entry</a><a name=\"Composition.section.entry\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span>..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-dental-findings.html\">Dental Findings</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">A reference to data that supports this section</span><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:payers_section\" title=\"Slice payers_section\">section:payers_section</a><a name=\"Composition.section\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span>..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Composition is broken into sections</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0251.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:payers_section.code\">code</a><a name=\"Composition.section.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of section (recommended)</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02501.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><a style=\"color: darkgreen\" href=\"http://hl7.org/fhir/R4/loinc.html\">http://loinc.org</a></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">48768-6</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0243.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:payers_section.entry\">Slices for entry</a><a name=\"Composition.section.entry\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/references.html\">Reference</a><span style=\"font-style: italic\">(</span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a><span style=\"font-style: italic\">)</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">A reference to data that supports this section</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by profile:resolve()</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck02424.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-dental-referral-note-definitions.html#Composition.section:payers_section.entry:coverage_entry/dental_coverage_entry\" title=\"Slice coverage_entry/dental_coverage_entry\">entry:coverage_entry/dental_coverage_entry</a><a name=\"Composition.section.entry\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span>..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.org/fhir/us/davinci-hrex/2019Jun/StructureDefinition-hrex-coverage.html\">HRex Coverage Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">A reference to data that supports this section</span><br/></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
      ];
      fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-referral-note"];
      fhir:StructureDefinition.version [ fhir:value "1.0.0"];
      fhir:StructureDefinition.name [ fhir:value "DentalReferralNote"];
      fhir:StructureDefinition.title [ fhir:value "Dental Referral Note"];
      fhir:StructureDefinition.status [ fhir:value "active"];
      fhir:StructureDefinition.date [ fhir:value "2021-11-02T16:22:15+00:00"^^xsd:dateTime];
      fhir:StructureDefinition.publisher [ fhir:value "Payer/Provider Information Exchange Work Group"];
      fhir:StructureDefinition.contact [
         fhir:index 0;
         fhir:ContactDetail.name [ fhir:value "HL7 International - Payer/Provider Information Exchange Work Group" ];
         fhir:ContactDetail.telecom [
           fhir:index 0;
           fhir:ContactPoint.system [ fhir:value "url" ];
           fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/claims" ]     ]
      ];
      fhir:StructureDefinition.description [ fhir:value "This profile defines the Dental Referral Note. It contains the textual information regarding a referral to a general dentist or dental specialist as well as references to supplemental dental profiles for the referral. This is not intended to be the mechanism for initiating the referral itself, but rather is a secondary communication that provides additional patient information to support a referral that already has been initated through some other channel."];
      fhir:StructureDefinition.jurisdiction [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
           fhir:Coding.code [ fhir:value "US" ];
           fhir:Coding.display [ fhir:value "United States of America" ]     ];
         fhir:CodeableConcept.text [ fhir:value "US" ]
      ];
      fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"];
      fhir:StructureDefinition.mapping [
         fhir:index 0;
         fhir:StructureDefinition.mapping.identity [ fhir:value "workflow" ];
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/workflow" ];
         fhir:StructureDefinition.mapping.name [ fhir:value "Workflow Pattern" ]
      ], [
         fhir:index 1;
         fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ];
         fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ]
      ], [
         fhir:index 2;
         fhir:StructureDefinition.mapping.identity [ fhir:value "cda" ];
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3/cda" ];
         fhir:StructureDefinition.mapping.name [ fhir:value "CDA (R2)" ]
      ], [
         fhir:index 3;
         fhir:StructureDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/documentreference" ];
         fhir:StructureDefinition.mapping.name [ fhir:value "FHIR DocumentReference" ]
      ], [
         fhir:index 4;
         fhir:StructureDefinition.mapping.identity [ fhir:value "w5" ];
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/fivews" ];
         fhir:StructureDefinition.mapping.name [ fhir:value "FiveWs Pattern Mapping" ]
      ];
      fhir:StructureDefinition.kind [ fhir:value "resource"];
      fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean];
      fhir:StructureDefinition.type [ fhir:value "Composition"];
      fhir:StructureDefinition.baseDefinition [
         fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/Referral-Note";
         fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/Referral-Note>
      ];
      fhir:StructureDefinition.derivation [ fhir:value "constraint"];
      fhir:StructureDefinition.snapshot [
         fhir:StructureDefinition.snapshot.element [
           fhir:index 0;
           fhir:Element.id [ fhir:value "Composition" ];
           fhir:ElementDefinition.path [ fhir:value "Composition" ];
           fhir:ElementDefinition.short [ fhir:value "A set of resources composed into a single coherent clinical statement with clinical attestation" ];
           fhir:ElementDefinition.definition [ fhir:value "A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.)." ];
           fhir:ElementDefinition.comment [ fhir:value "While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "contained.contained.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:contained)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-3" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.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.constraint.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.constraint.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.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-4" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ], [
             fhir:index 3;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-5" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a security label" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.security.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:security))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
               fhir:link <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.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
               fhir:index 1;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ];
               fhir:Extension.valueMarkdown [ 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.constraint.key [ fhir:value "dom-6" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A resource should have narrative for robust management" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.`div`.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text/h:div)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource";
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "Entity. Role, or Act" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "Event" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "Document[classCode=\"DOC\" and moodCode=\"EVN\" and isNormalAct()]" ]       ], [
             fhir:index 3;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument" ]       ], [
             fhir:index 4;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "when described by DocumentReference" ]       ]     ], [
           fhir:index 1;
           fhir:Element.id [ fhir:value "Composition.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Resource.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 2;
           fhir:Element.id [ fhir:value "Composition.meta" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Resource.meta" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Meta" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 3;
           fhir:Element.id [ fhir:value "Composition.implicitRules" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Resource.implicitRules" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ]     ], [
           fhir:index 4;
           fhir:Element.id [ fhir:value "Composition.language" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.language" ];
           fhir:ElementDefinition.short [ fhir:value "language" ];
           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 "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Resource.language" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet" ];
               fhir:Extension.valueCanonical [
                 fhir:value "http://hl7.org/fhir/ValueSet/all-languages";
                 fhir:link <http://hl7.org/fhir/ValueSet/all-languages>           ]         ], [
               fhir:index 1;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "Language" ]         ], [
               fhir:index 2;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding" ];
               fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "A human language." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/languages";
               fhir:link <http://hl7.org/fhir/ValueSet/languages>         ]       ]     ], [
           fhir:index 5;
           fhir:Element.id [ fhir:value "Composition.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "Act.text?" ]       ]     ], [
           fhir:index 6;
           fhir:Element.id [ fhir:value "Composition.contained" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.contained" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Resource" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 7;
           fhir:Element.id [ fhir:value "Composition.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.extension" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
             fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "Extension" ];
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
           fhir:index 8;
           fhir:Element.id [ fhir:value "Composition.extension:versionNumber" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.extension" ];
           fhir:ElementDefinition.sliceName [ fhir:value "versionNumber" ];
           fhir:ElementDefinition.short [ fhir:value "Version-specific identifier for composition" ];
           fhir:ElementDefinition.definition [ fhir:value "Version specific identifier for the composition, assigned when each version is created/updated." ];
           fhir:ElementDefinition.comment [ fhir:value "While each resource, including the composition itself, has its own version identifier, this is a formal identifier for the logical version of the composition as a whole. It would remain constant if the resources were moved to a new server, and all got new individual resource versions, for example." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "ele-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]     ], [
           fhir:index 9;
           fhir:Element.id [ fhir:value "Composition.extension:version_number_extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.extension" ];
           fhir:ElementDefinition.sliceName [ fhir:value "version_number_extension" ];
           fhir:ElementDefinition.short [ fhir:value "Extension" ];
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/VersionNumber>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
           fhir:index 10;
           fhir:Element.id [ fhir:value "Composition.extension:data_enterer_extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.extension" ];
           fhir:ElementDefinition.sliceName [ fhir:value "data_enterer_extension" ];
           fhir:ElementDefinition.short [ fhir:value "Extension" ];
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/DataEntererExtension>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
           fhir:index 11;
           fhir:Element.id [ fhir:value "Composition.extension:informant_extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.extension" ];
           fhir:ElementDefinition.sliceName [ fhir:value "informant_extension" ];
           fhir:ElementDefinition.label [ fhir:value "informant" ];
           fhir:ElementDefinition.short [ fhir:value "informant" ];
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/InformantExtension";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/InformantExtension>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
           fhir:index 12;
           fhir:Element.id [ fhir:value "Composition.extension:information_recipient_extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.extension" ];
           fhir:ElementDefinition.sliceName [ fhir:value "information_recipient_extension" ];
           fhir:ElementDefinition.label [ fhir:value "informationRecipient" ];
           fhir:ElementDefinition.short [ fhir:value "informationRecipient" ];
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/InformationRecipientExtension";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/InformationRecipientExtension>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
           fhir:index 13;
           fhir:Element.id [ fhir:value "Composition.extension:participant_extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.extension" ];
           fhir:ElementDefinition.sliceName [ fhir:value "participant_extension" ];
           fhir:ElementDefinition.label [ fhir:value "participant" ];
           fhir:ElementDefinition.short [ fhir:value "participant" ];
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/ParticipantExtension";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/ParticipantExtension>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
           fhir:index 14;
           fhir:Element.id [ fhir:value "Composition.extension:performer_extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.extension" ];
           fhir:ElementDefinition.sliceName [ fhir:value "performer_extension" ];
           fhir:ElementDefinition.label [ fhir:value "performer" ];
           fhir:ElementDefinition.short [ fhir:value "performer" ];
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/PerformerExtension";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/PerformerExtension>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
           fhir:index 15;
           fhir:Element.id [ fhir:value "Composition.extension:authorization_extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.extension" ];
           fhir:ElementDefinition.sliceName [ fhir:value "authorization_extension" ];
           fhir:ElementDefinition.label [ fhir:value "authorization" ];
           fhir:ElementDefinition.short [ fhir:value "authorization" ];
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/AuthorizationExtension";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/AuthorizationExtension>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
           fhir:index 16;
           fhir:Element.id [ fhir:value "Composition.extension:order_extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.extension" ];
           fhir:ElementDefinition.sliceName [ fhir:value "order_extension" ];
           fhir:ElementDefinition.label [ fhir:value "authorization" ];
           fhir:ElementDefinition.short [ fhir:value "authorization" ];
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ];
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/OrderExtension";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/OrderExtension>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]     ], [
           fhir:index 17;
           fhir:Element.id [ fhir:value "Composition.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 18;
           fhir:Element.id [ fhir:value "Composition.identifier" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.identifier" ];
           fhir:ElementDefinition.short [ fhir:value "identifier" ];
           fhir:ElementDefinition.definition [ fhir:value "A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time." ];
           fhir:ElementDefinition.comment [ fhir:value "Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.identifier" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.identifier" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.identifier" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "Document.id / Document.setId" ]       ], [
             fhir:index 3;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".setId" ]       ], [
             fhir:index 4;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.masterIdentifier" ]       ]     ], [
           fhir:index 19;
           fhir:Element.id [ fhir:value "Composition.status" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.status" ];
           fhir:ElementDefinition.short [ fhir:value "preliminary | final | amended | entered-in-error" ];
           fhir:ElementDefinition.definition [ fhir:value "The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document." ];
           fhir:ElementDefinition.comment [ fhir:value "If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag \"entered-in-error\" is why this element is labeled as a modifier of other elements.   \n\nSome reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required." ];
           fhir:ElementDefinition.requirements [ fhir:value "Need to be able to mark interim, amended, or withdrawn compositions or documents." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.status" ];
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionStatus" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The workflow/clinical status of the composition." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/composition-status|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/composition-status|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.status" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.status" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\";  final: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct()]);  amended: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct() and statusCode=\"completed\"];  withdrawn : .completionCode=NI &&  ./statusCode[isNormalDatatype()]=\"obsolete\"" ]       ], [
             fhir:index 3;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ], [
             fhir:index 4;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.status" ]       ]     ], [
           fhir:index 20;
           fhir:Element.id [ fhir:value "Composition.type" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.type" ];
           fhir:ElementDefinition.short [ fhir:value "Dentistry Referral note" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition." ];
           fhir:ElementDefinition.comment [ fhir:value "For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding." ];
           fhir:ElementDefinition.requirements [ fhir:value "Key metadata element describing the composition, used in searching/filtering." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.type" ];
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:57134-9;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "57134-9" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.2.3";
               fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.1.11.20.2.3>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 3;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ], [
             fhir:index 4;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.type" ]       ]     ], [
           fhir:index 21;
           fhir:Element.id [ fhir:value "Composition.category" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.category" ];
           fhir:ElementDefinition.short [ fhir:value "Categorization of Composition" ];
           fhir:ElementDefinition.definition [ fhir:value "A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type." ];
           fhir:ElementDefinition.comment [ fhir:value "This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD))." ];
           fhir:ElementDefinition.requirements [ fhir:value "Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.category" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "DocumentCategory" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "High-level kind of a clinical document at a macro level." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/document-classcodes";
               fhir:link <http://hl7.org/fhir/ValueSet/document-classcodes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.subject" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code" ]       ], [
             fhir:index 3;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ], [
             fhir:index 4;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumenttReference.category" ]       ]     ], [
           fhir:index 22;
           fhir:Element.id [ fhir:value "Composition.subject" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.subject" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what the composition is about" ];
           fhir:ElementDefinition.definition [ fhir:value "Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure)." ];
           fhir:ElementDefinition.comment [ fhir:value "For clinical documents, this is usually the patient." ];
           fhir:ElementDefinition.requirements [ fhir:value "Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.subject" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Group";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Group>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject[x]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".recordTarget" ]       ], [
             fhir:index 3;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.subject" ]       ], [
             fhir:index 4;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject" ]       ]     ], [
           fhir:index 23;
           fhir:Element.id [ fhir:value "Composition.encounter" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.encounter" ];
           fhir:ElementDefinition.short [ fhir:value "Context of the Composition" ];
           fhir:ElementDefinition.definition [ fhir:value "Describes the clinical encounter or type of care this documentation is associated with." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides context for the composition and supports searching." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.encounter" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.context" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.context" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])" ]       ], [
             fhir:index 3;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".componentOf.encompassingEncounter" ]       ], [
             fhir:index 4;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.context.encounter" ]       ]     ], [
           fhir:index 24;
           fhir:Element.id [ fhir:value "Composition.date" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.date" ];
           fhir:ElementDefinition.short [ fhir:value "date" ];
           fhir:ElementDefinition.definition [ fhir:value "The composition editing time, when the composition was last logically changed by the author." ];
           fhir:ElementDefinition.comment [ fhir:value "The Last Modified Date on the composition may be after the date of the document was attested without being changed." ];
           fhir:ElementDefinition.requirements [ fhir:value "dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](http://hl7.org/fhir/bundle-definitions.html#Bundle.timestamp) is the date of packaging." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.date" ];
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.occurrence[x]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.done[x]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".effectiveTime[type=\"TS\"]" ]       ], [
             fhir:index 3;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".effectiveTime" ]       ], [
             fhir:index 4;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.content.attachment.date, DocumentReference.created" ]       ]     ], [
           fhir:index 25;
           fhir:Element.id [ fhir:value "Composition.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the composition" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in the composition, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner>         ], [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 3;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ], [
             fhir:index 4;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.agent" ]       ]     ], [
           fhir:index 26;
           fhir:Element.id [ fhir:value "Composition.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.title" ];
           fhir:ElementDefinition.label [ fhir:value "Document Title" ];
           fhir:ElementDefinition.short [ fhir:value "Document Title" ];
           fhir:ElementDefinition.definition [ fhir:value "Official human-readable label for the composition." ];
           fhir:ElementDefinition.comment [ fhir:value "For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a \"consultation\" or \"progress note\"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.description, DocumentReference.content.attachment.title" ]       ]     ], [
           fhir:index 27;
           fhir:Element.id [ fhir:value "Composition.confidentiality" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.confidentiality" ];
           fhir:ElementDefinition.label [ fhir:value "Use the confidentiality codes in Meta.security" ];
           fhir:ElementDefinition.short [ fhir:value "Use the confidentiality codes in Meta.security" ];
           fhir:ElementDefinition.definition [ fhir:value "Use the confidentiality codes in Meta.security (https://hl7.org/fhir/security-labels.html)" ];
           fhir:ElementDefinition.comment [ fhir:value "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section).  This element is labeled as a modifier because highly confidential documents must not be treated as if they are not." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "0" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.confidentiality" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "DocumentConfidentiality" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Codes specifying the level of confidentiality of the composition." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26";
               fhir:link <http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".confidentialityCode" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".confidentialityCode" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.securityLabel" ]       ]     ], [
           fhir:index 28;
           fhir:Element.id [ fhir:value "Composition.attester" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "mode" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "Attests to accuracy of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "A participant who has attested to the accuracy of the composition/document." ];
           fhir:ElementDefinition.comment [ fhir:value "Only list each attester once." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies responsibility for the accuracy of the composition content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".authenticator/.legalAuthenticator" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.authenticator" ]       ]     ], [
           fhir:index 29;
           fhir:Element.id [ fhir:value "Composition.attester.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 30;
           fhir:Element.id [ fhir:value "Composition.attester.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 31;
           fhir:Element.id [ fhir:value "Composition.attester.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 32;
           fhir:Element.id [ fhir:value "Composition.attester.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.mode" ];
           fhir:ElementDefinition.short [ fhir:value "personal | professional | legal | official" ];
           fhir:ElementDefinition.definition [ fhir:value "The type of attestation the authenticator offers." ];
           fhir:ElementDefinition.requirements [ fhir:value "Indicates the level of authority of the attestation." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionAttestationMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The way in which a person authenticated a composition." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "unique(./modeCode)" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "implied by .authenticator/.legalAuthenticator" ]       ]     ], [
           fhir:index 33;
           fhir:Element.id [ fhir:value "Composition.attester.time" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.time" ];
           fhir:ElementDefinition.short [ fhir:value "When the composition was attested" ];
           fhir:ElementDefinition.definition [ fhir:value "When the composition was attested by the party." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies when the information in the composition was deemed accurate.  (Things may have changed since then.)." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester.time" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./time[type=\"TS\" and isNormalDatatype()]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".authenticator.time" ]       ]     ], [
           fhir:index 34;
           fhir:Element.id [ fhir:value "Composition.attester.party" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.party" ];
           fhir:ElementDefinition.short [ fhir:value "Who attested the composition" ];
           fhir:ElementDefinition.definition [ fhir:value "Who attested the composition in the specified way." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who has taken on the responsibility for accuracy of the composition content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester.party" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.witness" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".authenticator.assignedEnttty" ]       ]     ], [
           fhir:index 35;
           fhir:Element.id [ fhir:value "Composition.attester:legal_attester" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester" ];
           fhir:ElementDefinition.sliceName [ fhir:value "legal_attester" ];
           fhir:ElementDefinition.short [ fhir:value "attester" ];
           fhir:ElementDefinition.definition [ fhir:value "A participant who has attested to the accuracy of the composition/document." ];
           fhir:ElementDefinition.comment [ fhir:value "Only list each attester once." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies responsibility for the accuracy of the composition content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".authenticator/.legalAuthenticator" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.authenticator" ]       ]     ], [
           fhir:index 36;
           fhir:Element.id [ fhir:value "Composition.attester:legal_attester.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 37;
           fhir:Element.id [ fhir:value "Composition.attester:legal_attester.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 38;
           fhir:Element.id [ fhir:value "Composition.attester:legal_attester.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 39;
           fhir:Element.id [ fhir:value "Composition.attester:legal_attester.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.mode" ];
           fhir:ElementDefinition.short [ fhir:value "mode" ];
           fhir:ElementDefinition.definition [ fhir:value "The type of attestation the authenticator offers." ];
           fhir:ElementDefinition.requirements [ fhir:value "Indicates the level of authority of the attestation." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.fixedCode [ fhir:value "legal" ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionAttestationMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The way in which a person authenticated a composition." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "unique(./modeCode)" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "implied by .authenticator/.legalAuthenticator" ]       ]     ], [
           fhir:index 40;
           fhir:Element.id [ fhir:value "Composition.attester:legal_attester.time" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.time" ];
           fhir:ElementDefinition.short [ fhir:value "When the composition was attested" ];
           fhir:ElementDefinition.definition [ fhir:value "When the composition was attested by the party." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies when the information in the composition was deemed accurate.  (Things may have changed since then.)." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester.time" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./time[type=\"TS\" and isNormalDatatype()]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".authenticator.time" ]       ]     ], [
           fhir:index 41;
           fhir:Element.id [ fhir:value "Composition.attester:legal_attester.party" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.party" ];
           fhir:ElementDefinition.short [ fhir:value "party" ];
           fhir:ElementDefinition.definition [ fhir:value "Who attested the composition in the specified way." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who has taken on the responsibility for accuracy of the composition content." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester.party" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner>         ], [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.witness" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".authenticator.assignedEnttty" ]       ]     ], [
           fhir:index 42;
           fhir:Element.id [ fhir:value "Composition.attester:professional_attester" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester" ];
           fhir:ElementDefinition.sliceName [ fhir:value "professional_attester" ];
           fhir:ElementDefinition.short [ fhir:value "attester" ];
           fhir:ElementDefinition.definition [ fhir:value "A participant who has attested to the accuracy of the composition/document." ];
           fhir:ElementDefinition.comment [ fhir:value "Only list each attester once." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies responsibility for the accuracy of the composition content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".authenticator/.legalAuthenticator" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.authenticator" ]       ]     ], [
           fhir:index 43;
           fhir:Element.id [ fhir:value "Composition.attester:professional_attester.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 44;
           fhir:Element.id [ fhir:value "Composition.attester:professional_attester.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 45;
           fhir:Element.id [ fhir:value "Composition.attester:professional_attester.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 46;
           fhir:Element.id [ fhir:value "Composition.attester:professional_attester.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.mode" ];
           fhir:ElementDefinition.short [ fhir:value "mode" ];
           fhir:ElementDefinition.definition [ fhir:value "The type of attestation the authenticator offers." ];
           fhir:ElementDefinition.requirements [ fhir:value "Indicates the level of authority of the attestation." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.fixedCode [ fhir:value "professional" ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionAttestationMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The way in which a person authenticated a composition." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "unique(./modeCode)" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "implied by .authenticator/.legalAuthenticator" ]       ]     ], [
           fhir:index 47;
           fhir:Element.id [ fhir:value "Composition.attester:professional_attester.time" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.time" ];
           fhir:ElementDefinition.short [ fhir:value "When the composition was attested" ];
           fhir:ElementDefinition.definition [ fhir:value "When the composition was attested by the party." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies when the information in the composition was deemed accurate.  (Things may have changed since then.)." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester.time" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./time[type=\"TS\" and isNormalDatatype()]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".authenticator.time" ]       ]     ], [
           fhir:index 48;
           fhir:Element.id [ fhir:value "Composition.attester:professional_attester.party" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.party" ];
           fhir:ElementDefinition.short [ fhir:value "party" ];
           fhir:ElementDefinition.definition [ fhir:value "Who attested the composition in the specified way." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who has taken on the responsibility for accuracy of the composition content." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester.party" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner>         ], [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.witness" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".authenticator.assignedEnttty" ]       ]     ], [
           fhir:index 49;
           fhir:Element.id [ fhir:value "Composition.attester:personal_attester" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester" ];
           fhir:ElementDefinition.sliceName [ fhir:value "personal_attester" ];
           fhir:ElementDefinition.short [ fhir:value "attester" ];
           fhir:ElementDefinition.definition [ fhir:value "A participant who has attested to the accuracy of the composition/document." ];
           fhir:ElementDefinition.comment [ fhir:value "Only list each attester once." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies responsibility for the accuracy of the composition content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".authenticator/.legalAuthenticator" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.authenticator" ]       ]     ], [
           fhir:index 50;
           fhir:Element.id [ fhir:value "Composition.attester:personal_attester.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 51;
           fhir:Element.id [ fhir:value "Composition.attester:personal_attester.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 52;
           fhir:Element.id [ fhir:value "Composition.attester:personal_attester.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 53;
           fhir:Element.id [ fhir:value "Composition.attester:personal_attester.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.mode" ];
           fhir:ElementDefinition.short [ fhir:value "mode" ];
           fhir:ElementDefinition.definition [ fhir:value "The type of attestation the authenticator offers." ];
           fhir:ElementDefinition.requirements [ fhir:value "Indicates the level of authority of the attestation." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.fixedCode [ fhir:value "personal" ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionAttestationMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The way in which a person authenticated a composition." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "unique(./modeCode)" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "implied by .authenticator/.legalAuthenticator" ]       ]     ], [
           fhir:index 54;
           fhir:Element.id [ fhir:value "Composition.attester:personal_attester.time" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.time" ];
           fhir:ElementDefinition.short [ fhir:value "When the composition was attested" ];
           fhir:ElementDefinition.definition [ fhir:value "When the composition was attested by the party." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies when the information in the composition was deemed accurate.  (Things may have changed since then.)." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester.time" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./time[type=\"TS\" and isNormalDatatype()]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".authenticator.time" ]       ]     ], [
           fhir:index 55;
           fhir:Element.id [ fhir:value "Composition.attester:personal_attester.party" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.attester.party" ];
           fhir:ElementDefinition.short [ fhir:value "party" ];
           fhir:ElementDefinition.definition [ fhir:value "Who attested the composition in the specified way." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who has taken on the responsibility for accuracy of the composition content." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.attester.party" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.witness" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".authenticator.assignedEnttty" ]       ]     ], [
           fhir:index 56;
           fhir:Element.id [ fhir:value "Composition.custodian" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.custodian" ];
           fhir:ElementDefinition.label [ fhir:value "custodian" ];
           fhir:ElementDefinition.short [ fhir:value "custodian" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information." ];
           fhir:ElementDefinition.comment [ fhir:value "This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies where to go to find the current version, where to report issues, etc." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.custodian" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".custodian.assignedCustodian" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.custodian" ]       ]     ], [
           fhir:index 57;
           fhir:Element.id [ fhir:value "Composition.relatesTo" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.relatesTo" ];
           fhir:ElementDefinition.short [ fhir:value "Relationships to other compositions/documents" ];
           fhir:ElementDefinition.definition [ fhir:value "Relationships that this composition has with other compositions or documents that already exist." ];
           fhir:ElementDefinition.comment [ fhir:value "A document is a version specific composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.relatesTo" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".relatedDocument" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.relatesTo" ]       ]     ], [
           fhir:index 58;
           fhir:Element.id [ fhir:value "Composition.relatesTo.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.relatesTo.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 59;
           fhir:Element.id [ fhir:value "Composition.relatesTo.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.relatesTo.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 60;
           fhir:Element.id [ fhir:value "Composition.relatesTo.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.relatesTo.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 61;
           fhir:Element.id [ fhir:value "Composition.relatesTo.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.relatesTo.code" ];
           fhir:ElementDefinition.short [ fhir:value "replaces | transforms | signs | appends" ];
           fhir:ElementDefinition.definition [ fhir:value "The type of relationship that this composition has with anther composition or document." ];
           fhir:ElementDefinition.comment [ fhir:value "If this document appends another document, then the document cannot be fully understood without also accessing the referenced document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.relatesTo.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "DocumentRelationshipType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The type of relationship between documents." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship.typeCode" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".relatedDocument.typeCode" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.relatesTo.code" ]       ]     ], [
           fhir:index 62;
           fhir:Element.id [ fhir:value "Composition.relatesTo.target[x]" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.relatesTo.target[x]" ];
           fhir:ElementDefinition.short [ fhir:value "Target of the relationship" ];
           fhir:ElementDefinition.definition [ fhir:value "The target composition/document of this relationship." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.relatesTo.target[x]" ];
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Composition";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Composition>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".target[classCode=\"DOC\", moodCode=\"EVN\"].id" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".relatedDocument.id" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.relatesTo.target" ]       ]     ], [
           fhir:index 63;
           fhir:Element.id [ fhir:value "Composition.event" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.event" ];
           fhir:ElementDefinition.short [ fhir:value "The clinical service(s) being documented" ];
           fhir:ElementDefinition.definition [ fhir:value "The clinical service, such as a colonoscopy or an appendectomy, being documented." ];
           fhir:ElementDefinition.comment [ fhir:value "The event needs to be consistent with the type element, though can provide further information if desired." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.event" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".documentationOf.serviceEvent" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.event" ]       ]     ], [
           fhir:index 64;
           fhir:Element.id [ fhir:value "Composition.event.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.event.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 65;
           fhir:Element.id [ fhir:value "Composition.event.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.event.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 66;
           fhir:Element.id [ fhir:value "Composition.event.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.event.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 67;
           fhir:Element.id [ fhir:value "Composition.event.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.event.code" ];
           fhir:ElementDefinition.short [ fhir:value "Code(s) that apply to the event being documented" ];
           fhir:ElementDefinition.definition [ fhir:value "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act." ];
           fhir:ElementDefinition.comment [ fhir:value "An event can further specialize the act inherent in the typeCode, such as where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.event.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "DocumentEventType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "This list of codes represents the main clinical acts being documented." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://terminology.hl7.org/ValueSet/v3-ActCode";
               fhir:link <http://terminology.hl7.org/ValueSet/v3-ActCode>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.event.code" ]       ]     ], [
           fhir:index 68;
           fhir:Element.id [ fhir:value "Composition.event.period" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.event.period" ];
           fhir:ElementDefinition.short [ fhir:value "The period covered by the documentation" ];
           fhir:ElementDefinition.definition [ fhir:value "The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.event.period" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Period" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".effectiveTime" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".effectiveTime" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "fhirdocumentreference" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "DocumentReference.event.period" ]       ]     ], [
           fhir:index 69;
           fhir:Element.id [ fhir:value "Composition.event.detail" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.event.detail" ];
           fhir:ElementDefinition.short [ fhir:value "The event(s) being documented" ];
           fhir:ElementDefinition.definition [ fhir:value "The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.event.detail" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=\"SUBJ\"].target" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 70;
           fhir:Element.id [ fhir:value "Composition.section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "code" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "Composition is broken into sections" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 71;
           fhir:Element.id [ fhir:value "Composition.section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 72;
           fhir:Element.id [ fhir:value "Composition.section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 73;
           fhir:Element.id [ fhir:value "Composition.section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 74;
           fhir:Element.id [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "Label for section (e.g. for ToC)" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 75;
           fhir:Element.id [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "Classification of section (recommended)" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 76;
           fhir:Element.id [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 77;
           fhir:Element.id [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 78;
           fhir:Element.id [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "Text summary of the section, for human interpretation" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 79;
           fhir:Element.id [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 80;
           fhir:Element.id [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 81;
           fhir:Element.id [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 82;
           fhir:Element.id [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 83;
           fhir:Element.id [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 84;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "allergies_and_intolerances_section" ];
           fhir:ElementDefinition.label [ fhir:value "Allergies and Intolerances Section" ];
           fhir:ElementDefinition.short [ fhir:value "Allergies and Intolerances Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 85;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 86;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 87;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 88;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 89;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "code" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:48765-2;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "48765-2" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 90;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 91;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 92;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 93;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 94;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 95;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 96;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.entry:allergies_and_intolerances_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "allergies_and_intolerances_entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 97;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 98;
           fhir:Element.id [ fhir:value "Composition.section:allergies_and_intolerances_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 99;
           fhir:Element.id [ fhir:value "Composition.section:medications_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "medications_section" ];
           fhir:ElementDefinition.label [ fhir:value "Medications Section" ];
           fhir:ElementDefinition.short [ fhir:value "Medications Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 100;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 101;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 102;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 103;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 104;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "code" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:10160-0;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "10160-0" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 105;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 106;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 107;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 108;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 109;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 110;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 111;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.entry:medications_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "medications_entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationStatement";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/MedicationStatement>         ], [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication>         ], [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 112;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 113;
           fhir:Element.id [ fhir:value "Composition.section:medications_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 114;
           fhir:Element.id [ fhir:value "Composition.section:problem_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "problem_section" ];
           fhir:ElementDefinition.label [ fhir:value "Problem Section" ];
           fhir:ElementDefinition.short [ fhir:value "Problem Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.comment [ fhir:value "Problem Section" ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 115;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 116;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 117;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 118;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 119;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.label [ fhir:value "Problem list" ];
           fhir:ElementDefinition.short [ fhir:value "Problem list" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:11450-4;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "11450-4" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 120;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 121;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 122;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 123;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 124;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 125;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 126;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.entry:problem_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "problem_entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 127;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 128;
           fhir:Element.id [ fhir:value "Composition.section:problem_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 129;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "reason_for_referral_section" ];
           fhir:ElementDefinition.label [ fhir:value "Reason for Referral Section" ];
           fhir:ElementDefinition.short [ fhir:value "Reason for Referral Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 130;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 131;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 132;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 133;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 134;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "code" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:42349-1;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "42349-1" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 135;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 136;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 137;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains only human readable content" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 138;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 139;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 140;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 141;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.entry:reason_for_referral_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "reason_for_referral_entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 142;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 143;
           fhir:Element.id [ fhir:value "Composition.section:reason_for_referral_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 144;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "functional_status_section" ];
           fhir:ElementDefinition.label [ fhir:value "Functional Status Section" ];
           fhir:ElementDefinition.short [ fhir:value "Functional Status Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 145;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 146;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 147;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 148;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 149;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "code" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:47420-5;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "47420-5" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 150;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 151;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 152;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 153;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 154;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 155;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 156;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.entry:functional_status_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "functional_status_entry" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc." ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 157;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 158;
           fhir:Element.id [ fhir:value "Composition.section:functional_status_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 159;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "mental_status_section" ];
           fhir:ElementDefinition.label [ fhir:value "Mental Status Section" ];
           fhir:ElementDefinition.short [ fhir:value "Mental Status Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 160;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 161;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 162;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 163;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 164;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "code" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:10190-7;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "10190-7" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 165;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 166;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 167;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 168;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 169;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 170;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 171;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.entry:mental_status_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "mental_status_entry" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc." ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 172;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 173;
           fhir:Element.id [ fhir:value "Composition.section:mental_status_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 174;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "nutrition_section" ];
           fhir:ElementDefinition.label [ fhir:value "Nutrition Section" ];
           fhir:ElementDefinition.short [ fhir:value "Nutrition Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.comment [ fhir:value "Nutrition Section" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 175;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 176;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 177;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 178;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 179;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.label [ fhir:value "Diet and nutrition" ];
           fhir:ElementDefinition.short [ fhir:value "Diet and nutrition" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:61144-2;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "61144-2" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 180;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 181;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 182;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 183;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 184;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 185;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 186;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.entry:nutrition_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "nutrition_entry" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc." ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 187;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 188;
           fhir:Element.id [ fhir:value "Composition.section:nutrition_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 189;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "plan_of_treatment_section" ];
           fhir:ElementDefinition.label [ fhir:value "Plan of Treatment Section" ];
           fhir:ElementDefinition.short [ fhir:value "Plan of Treatment Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.comment [ fhir:value "Plan of Treatment Section" ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 190;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 191;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 192;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 193;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 194;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.label [ fhir:value "Plan of treatment" ];
           fhir:ElementDefinition.short [ fhir:value "Plan of treatment" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:18776-5;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "18776-5" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 195;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 196;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 197;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 198;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 199;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 200;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 201;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.entry:sliceEntry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "sliceEntry" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc." ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal>         ], [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest>         ], [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Communication";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Communication>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Appointment";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Appointment>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/CommunicationRequest";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/CommunicationRequest>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DeviceRequest";
               fhir:index 6;
               fhir:link <http://hl7.org/fhir/StructureDefinition/DeviceRequest>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/NutritionOrder";
               fhir:index 7;
               fhir:link <http://hl7.org/fhir/StructureDefinition/NutritionOrder>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Task";
               fhir:index 8;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Task>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
               fhir:index 9;
               fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/VisionPrescription";
               fhir:index 10;
               fhir:link <http://hl7.org/fhir/StructureDefinition/VisionPrescription>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RequestGroup";
               fhir:index 11;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RequestGroup>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 202;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 203;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 204;
           fhir:Element.id [ fhir:value "Composition.section:results_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "results_section" ];
           fhir:ElementDefinition.label [ fhir:value "Results Section" ];
           fhir:ElementDefinition.short [ fhir:value "Results Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.comment [ fhir:value "Results Section" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 205;
           fhir:Element.id [ fhir:value "Composition.section:results_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 206;
           fhir:Element.id [ fhir:value "Composition.section:results_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 207;
           fhir:Element.id [ fhir:value "Composition.section:results_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 208;
           fhir:Element.id [ fhir:value "Composition.section:results_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 209;
           fhir:Element.id [ fhir:value "Composition.section:results_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.label [ fhir:value "Relevant diagnostic tests and laboratory data" ];
           fhir:ElementDefinition.short [ fhir:value "Relevant diagnostic tests and laboratory data" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:30954-2;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "30954-2" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 210;
           fhir:Element.id [ fhir:value "Composition.section:results_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 211;
           fhir:Element.id [ fhir:value "Composition.section:results_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 212;
           fhir:Element.id [ fhir:value "Composition.section:results_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 213;
           fhir:Element.id [ fhir:value "Composition.section:results_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 214;
           fhir:Element.id [ fhir:value "Composition.section:results_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 215;
           fhir:Element.id [ fhir:value "Composition.section:results_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 216;
           fhir:Element.id [ fhir:value "Composition.section:results_section.entry:results_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "results_entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 217;
           fhir:Element.id [ fhir:value "Composition.section:results_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 218;
           fhir:Element.id [ fhir:value "Composition.section:results_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 219;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "assessment_and_plan_section" ];
           fhir:ElementDefinition.label [ fhir:value "Assessment and Plan Section" ];
           fhir:ElementDefinition.short [ fhir:value "Assessment and Plan Section. This section represents the clinicianâs conclusions and working assumptions that will guide treatment of the patient. The Assessment and Plan Section may be combined or separated to meet local policy requirements." ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 220;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 221;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 222;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 223;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 224;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.label [ fhir:value "Assessment and plan" ];
           fhir:ElementDefinition.short [ fhir:value "Assessment and plan" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:51847-2;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "51847-2" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 225;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 226;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 227;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 228;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 229;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 230;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 231;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.entry:assessment_and_plan_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "assessment_and_plan_entry" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc." ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Communication";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Communication>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 232;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 233;
           fhir:Element.id [ fhir:value "Composition.section:assessment_and_plan_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 234;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "advance_directives_section" ];
           fhir:ElementDefinition.label [ fhir:value "Advance Directives Section" ];
           fhir:ElementDefinition.short [ fhir:value "Advance Directives Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.comment [ fhir:value "Advance Directives Section" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 235;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 236;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 237;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 238;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 239;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.label [ fhir:value "Advance directives" ];
           fhir:ElementDefinition.short [ fhir:value "Advance directives" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:42348-3;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "42348-3" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 240;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 241;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 242;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 243;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 244;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 245;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 246;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.entry:advance_directive_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "advance_directive_entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Consent";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Consent>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 247;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 248;
           fhir:Element.id [ fhir:value "Composition.section:advance_directives_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 249;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "assessment_section" ];
           fhir:ElementDefinition.label [ fhir:value "Assessment Section" ];
           fhir:ElementDefinition.short [ fhir:value "Assessment Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 250;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 251;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 252;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 253;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 254;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "code" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:51848-0;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "51848-0" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 255;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 256;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 257;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains only human readable content" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 258;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 259;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 260;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 261;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 262;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 263;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "family_history_section" ];
           fhir:ElementDefinition.label [ fhir:value "Family History Section" ];
           fhir:ElementDefinition.short [ fhir:value "Family History Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.comment [ fhir:value "Family History Section" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 264;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 265;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 266;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 267;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 268;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.label [ fhir:value "History of family member diseases" ];
           fhir:ElementDefinition.short [ fhir:value "History of family member diseases" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:10157-6;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "10157-6" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 269;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 270;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 271;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 272;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 273;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 274;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 275;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.entry:family_history_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "family_history_entry" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc." ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 276;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 277;
           fhir:Element.id [ fhir:value "Composition.section:family_history_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 278;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "general_status_section" ];
           fhir:ElementDefinition.label [ fhir:value "General Status Section" ];
           fhir:ElementDefinition.short [ fhir:value "General Status Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 279;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 280;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 281;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 282;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 283;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "code" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:10210-3;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "10210-3" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 284;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 285;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 286;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains only human readable content" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 287;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 288;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 289;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 290;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 291;
           fhir:Element.id [ fhir:value "Composition.section:general_status_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 292;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "past_medical_history_section" ];
           fhir:ElementDefinition.label [ fhir:value "Past Medical History Section" ];
           fhir:ElementDefinition.short [ fhir:value "Past Medical History Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 293;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 294;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 295;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 296;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 297;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "code" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:11348-0;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "11348-0" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 298;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 299;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 300;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 301;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 302;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 303;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 304;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.entry:past_medical_history_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "past_medical_history_entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 305;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 306;
           fhir:Element.id [ fhir:value "Composition.section:past_medical_history_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 307;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "history_of_present_illness_section" ];
           fhir:ElementDefinition.label [ fhir:value "History of Present Illness Section" ];
           fhir:ElementDefinition.short [ fhir:value "History of Present Illness Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 308;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 309;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 310;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 311;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 312;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "code" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:10164-2;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "10164-2" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 313;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 314;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 315;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains only human readable content" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 316;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 317;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 318;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 319;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 320;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 321;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "immunizations_section" ];
           fhir:ElementDefinition.label [ fhir:value "Immunizations Section" ];
           fhir:ElementDefinition.short [ fhir:value "Immunizations Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.comment [ fhir:value "Immunizations Section" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 322;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 323;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 324;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 325;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 326;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.label [ fhir:value "History of immunization" ];
           fhir:ElementDefinition.short [ fhir:value "History of immunization" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:11369-6;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "11369-6" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 327;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 328;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 329;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 330;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 331;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 332;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 333;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.entry:immunizations_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "immunizations_entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 334;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 335;
           fhir:Element.id [ fhir:value "Composition.section:immunizations_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 336;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "medical_equipment_section" ];
           fhir:ElementDefinition.label [ fhir:value "Medical Equipment Section" ];
           fhir:ElementDefinition.short [ fhir:value "Medical Equipment Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.comment [ fhir:value "Medical Equipment Section" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 337;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 338;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 339;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 340;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 341;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.label [ fhir:value "Medical equipment" ];
           fhir:ElementDefinition.short [ fhir:value "Medical equipment" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:46264-8;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "46264-8" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 342;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 343;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 344;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 345;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 346;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 347;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 348;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.entry:medical_equipment_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "medical_equipment_entry" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc." ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 349;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 350;
           fhir:Element.id [ fhir:value "Composition.section:medical_equipment_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 351;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "physical_exam_section" ];
           fhir:ElementDefinition.label [ fhir:value "Physical Exam Section" ];
           fhir:ElementDefinition.short [ fhir:value "Physical Exam Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 352;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 353;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 354;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 355;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 356;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "code" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:29545-1;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "29545-1" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 357;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 358;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 359;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 360;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 361;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 362;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 363;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.entry:physical_exam_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "physical_exam_entry" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc." ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 364;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 365;
           fhir:Element.id [ fhir:value "Composition.section:physical_exam_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 366;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "procedures_section" ];
           fhir:ElementDefinition.label [ fhir:value "Procedures Section" ];
           fhir:ElementDefinition.short [ fhir:value "Procedures Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.comment [ fhir:value "Procedures Section" ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 367;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 368;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 369;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 370;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 371;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.label [ fhir:value "History of procedures" ];
           fhir:ElementDefinition.short [ fhir:value "History of procedures" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:47519-4;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "47519-4" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 372;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 373;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 374;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 375;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 376;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 377;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 378;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.entry:procedures_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "procedures_entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 379;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 380;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 381;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "review_of_systems_section" ];
           fhir:ElementDefinition.label [ fhir:value "Review of Systems Section" ];
           fhir:ElementDefinition.short [ fhir:value "Review of Systems Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 382;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 383;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 384;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 385;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 386;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "code" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:10187-3;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "10187-3" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 387;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 388;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 389;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains only human readable content" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 390;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 391;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 392;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 393;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 394;
           fhir:Element.id [ fhir:value "Composition.section:review_of_systems_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 395;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "social_history_section" ];
           fhir:ElementDefinition.label [ fhir:value "Social History Section" ];
           fhir:ElementDefinition.short [ fhir:value "Social History Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.comment [ fhir:value "Social History Section" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 396;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 397;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 398;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 399;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 400;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.label [ fhir:value "Social history" ];
           fhir:ElementDefinition.short [ fhir:value "Social history" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:29762-2;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "29762-2" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 401;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 402;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 403;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 404;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 405;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 406;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 407;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.entry:social_history_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "social_history_entry" ];
           fhir:ElementDefinition.short [ fhir:value "Smoking status" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 408;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 409;
           fhir:Element.id [ fhir:value "Composition.section:social_history_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 410;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "vital_signs_section" ];
           fhir:ElementDefinition.label [ fhir:value "Vital Signs Section" ];
           fhir:ElementDefinition.short [ fhir:value "Vital Signs Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.comment [ fhir:value "Vital Signs Section" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 411;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 412;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 413;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 414;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 415;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.label [ fhir:value "Vital signs" ];
           fhir:ElementDefinition.short [ fhir:value "Vital signs" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:8716-3;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "8716-3" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 416;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 417;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 418;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 419;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 420;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 421;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 422;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.entry:vital_signs_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "vital_signs_entry" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc." ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/vitalsigns";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/vitalsigns>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 423;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 424;
           fhir:Element.id [ fhir:value "Composition.section:vital_signs_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 425;
           fhir:Element.id [ fhir:value "Composition.section:goals_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "goals_section" ];
           fhir:ElementDefinition.short [ fhir:value "Goals Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 426;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 427;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 428;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 429;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 430;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "Goals" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:61146-7;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "61146-7" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 431;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 432;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 433;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 434;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 435;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 436;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 437;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.entry:goals_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "goals_entry" ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 438;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 439;
           fhir:Element.id [ fhir:value "Composition.section:goals_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 440;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "health_concerns_section" ];
           fhir:ElementDefinition.short [ fhir:value "Health Concerns Section" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 441;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 442;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 443;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 444;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 445;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "Health concerns section code" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:75310-3;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "75310-3" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 446;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 447;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 448;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "text" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 449;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 450;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 451;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 452;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.entry:health_concerns_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "health_concerns_entry" ];
           fhir:ElementDefinition.short [ fhir:value "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc." ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance>         ], [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>         ], [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab>         ], [
               fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/vitalsigns";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/vitalsigns>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/ClinicalImpression";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/ClinicalImpression>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
               fhir:index 6;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RiskAssessment";
               fhir:index 7;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RiskAssessment>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/List";
               fhir:index 8;
               fhir:link <http://hl7.org/fhir/StructureDefinition/List>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DocumentReference";
               fhir:index 9;
               fhir:link <http://hl7.org/fhir/StructureDefinition/DocumentReference>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 453;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 454;
           fhir:Element.id [ fhir:value "Composition.section:health_concerns_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 455;
           fhir:Element.id [ fhir:value "Composition.section:instructions" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "instructions" ];
           fhir:ElementDefinition.short [ fhir:value "Composition is broken into sections" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 456;
           fhir:Element.id [ fhir:value "Composition.section:instructions.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 457;
           fhir:Element.id [ fhir:value "Composition.section:instructions.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 458;
           fhir:Element.id [ fhir:value "Composition.section:instructions.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 459;
           fhir:Element.id [ fhir:value "Composition.section:instructions.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 460;
           fhir:Element.id [ fhir:value "Composition.section:instructions.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "Classification of section (recommended)" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:69730-0;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "69730-0" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 461;
           fhir:Element.id [ fhir:value "Composition.section:instructions.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 462;
           fhir:Element.id [ fhir:value "Composition.section:instructions.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 463;
           fhir:Element.id [ fhir:value "Composition.section:instructions.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "Text summary of the section, for human interpretation" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 464;
           fhir:Element.id [ fhir:value "Composition.section:instructions.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 465;
           fhir:Element.id [ fhir:value "Composition.section:instructions.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 466;
           fhir:Element.id [ fhir:value "Composition.section:instructions.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 467;
           fhir:Element.id [ fhir:value "Composition.section:instructions.entry:dental_instructions" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "dental_instructions" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-communication";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-communication>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 468;
           fhir:Element.id [ fhir:value "Composition.section:instructions.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 469;
           fhir:Element.id [ fhir:value "Composition.section:instructions.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 470;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "dental_findings_section" ];
           fhir:ElementDefinition.short [ fhir:value "Composition is broken into sections" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 471;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 472;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 473;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 474;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 475;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "Classification of section (recommended)" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:8704-9;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "8704-9" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 476;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 477;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 478;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "Text summary of the section, for human interpretation" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 479;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 480;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 481;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 482;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.entry:dental_findings_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "dental_findings_entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-findings";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-findings>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 483;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 484;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ], [
           fhir:index 485;
           fhir:Element.id [ fhir:value "Composition.section:payers_section" ];
           fhir:Element.extension [
             fhir:index 0;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name" ];
             fhir:Extension.valueString [ fhir:value "Section" ]       ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "payers_section" ];
           fhir:ElementDefinition.short [ fhir:value "Composition is broken into sections" ];
           fhir:ElementDefinition.definition [ fhir:value "The root of the sections that make up the composition." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section must contain at least one of text, entries, or sub-sections" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.exists() or entry.exists() or section.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text) or exists(f:entry) or exists(f:section)" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "cmp-2" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "A section can only have an emptyReason if it is empty" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "emptyReason.empty() or entry.empty()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:emptyReason) and exists(f:entry))" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header";
               fhir:link <http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header>         ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.structuredBody.component.section" ]       ]     ], [
           fhir:index 486;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.id" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.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.valueUrl [ fhir:value "string" ]         ];
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 487;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.extension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 488;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.modifierExtension" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.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](http://hl7.org/fhir/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"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
           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"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]       ]     ], [
           fhir:index 489;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "Label for section (e.g. for ToC)" ];
           fhir:ElementDefinition.definition [ fhir:value "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents." ];
           fhir:ElementDefinition.comment [ fhir:value "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element." ];
           fhir:ElementDefinition.requirements [ fhir:value "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized." ];
           fhir:ElementDefinition.alias [
             fhir:value "header";
             fhir:index 0       ], [
             fhir:value "label";
             fhir:index 1       ], [
             fhir:value "caption";
             fhir:index 2       ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.title" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./title" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".title" ]       ]     ], [
           fhir:index 490;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.short [ fhir:value "Classification of section (recommended)" ];
           fhir:ElementDefinition.definition [ fhir:value "A code identifying the kind of content contained within the section. This must be consistent with the section title." ];
           fhir:ElementDefinition.comment [ fhir:value "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code." ];
           fhir:ElementDefinition.requirements [ fhir:value "Provides computable standardized labels to topics within the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.code" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:48768-6;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "48768-6" ]         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "CompositionSectionType" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ];
             fhir:ElementDefinition.binding.description [ fhir:value "Classification of a section of a composition/document." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/doc-section-codes";
               fhir:link <http://hl7.org/fhir/ValueSet/doc-section-codes>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./code" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]       ]     ], [
           fhir:index 491;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.author" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.author" ];
           fhir:ElementDefinition.short [ fhir:value "Who and/or what authored the section" ];
           fhir:ElementDefinition.definition [ fhir:value "Identifies who is responsible for the information in this section, not necessarily who typed it in." ];
           fhir:ElementDefinition.requirements [ fhir:value "Identifies who is responsible for the content." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.author" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole";
               fhir:index 1;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Device";
               fhir:index 2;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Device>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
               fhir:index 3;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson";
               fhir:index 4;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>         ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization";
               fhir:index 5;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.author" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".author.assignedAuthor" ]       ]     ], [
           fhir:index 492;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.focus" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.focus" ];
           fhir:ElementDefinition.short [ fhir:value "Who/what the section is about, when it is not about the subject of composition" ];
           fhir:ElementDefinition.definition [ fhir:value "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources)." ];
           fhir:ElementDefinition.comment [ fhir:value "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.focus" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".subject? (CDA did not differentiate between subject and focus)" ]       ]     ], [
           fhir:index 493;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.text" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.text" ];
           fhir:ElementDefinition.short [ fhir:value "Text summary of the section, for human interpretation" ];
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains the attested content of the section, 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." ];
           fhir:ElementDefinition.comment [ fhir:value "Document profiles may define what content should be represented in the narrative to ensure clinical safety." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.text" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".text" ]       ]     ], [
           fhir:index 494;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.mode" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.mode" ];
           fhir:ElementDefinition.short [ fhir:value "working | snapshot | changes" ];
           fhir:ElementDefinition.definition [ fhir:value "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted." ];
           fhir:ElementDefinition.comment [ fhir:value "This element is labeled as a modifier because a change list must not be misunderstood as a complete list." ];
           fhir:ElementDefinition.requirements [ fhir:value "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.mode" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionMode" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
             fhir:ElementDefinition.binding.description [ fhir:value "The processing mode that applies to this section." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-mode|4.0.1";
               fhir:link <http://hl7.org/fhir/ValueSet/list-mode|4.0.1>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.class" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value" ]       ], [
             fhir:index 2;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 495;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.orderedBy" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.orderedBy" ];
           fhir:ElementDefinition.short [ fhir:value "Order of section entries" ];
           fhir:ElementDefinition.definition [ fhir:value "Specifies the order applied to the items in the section entries." ];
           fhir:ElementDefinition.comment [ fhir:value "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order." ];
           fhir:ElementDefinition.requirements [ fhir:value "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.orderedBy" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEntryOrder" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "What order applies to the items in the entry." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-order";
               fhir:link <http://hl7.org/fhir/ValueSet/list-order>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP].sequenceNumber > 1" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 496;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Resource";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Resource>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 497;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.entry:coverage_entry/dental_coverage_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "coverage_entry/dental_coverage_entry" ];
           fhir:ElementDefinition.short [ fhir:value "A reference to data that supports this section" ];
           fhir:ElementDefinition.definition [ fhir:value "A reference to the actual resource from which the narrative in the section is derived." ];
           fhir:ElementDefinition.comment [ fhir:value "If there are no entries in the list, an emptyReason SHOULD be provided." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.entry" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage>         ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".entry" ]       ]     ], [
           fhir:index 498;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.emptyReason" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.emptyReason" ];
           fhir:ElementDefinition.short [ fhir:value "Why the section is empty" ];
           fhir:ElementDefinition.definition [ fhir:value "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason." ];
           fhir:ElementDefinition.comment [ fhir:value "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases." ];
           fhir:ElementDefinition.requirements [ fhir:value "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.emptyReason" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]       ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-2";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ];
               fhir:Extension.valueString [ fhir:value "SectionEmptyReason" ]         ];
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ];
             fhir:ElementDefinition.binding.description [ fhir:value "If a section is empty, why it is empty." ];
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/list-empty-reason";
               fhir:link <http://hl7.org/fhir/ValueSet/list-empty-reason>         ]       ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
           fhir:index 499;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.section" ];
           fhir:ElementDefinition.short [ fhir:value "Nested Section" ];
           fhir:ElementDefinition.definition [ fhir:value "A nested sub-section within this section." ];
           fhir:ElementDefinition.comment [ fhir:value "Nested sections are primarily used to help human readers navigate to particular portions of the document." ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Composition.section.section" ];
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
             fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
           fhir:ElementDefinition.contentReference [ fhir:value "http://hl7.org/fhir/StructureDefinition/Composition#Composition.section" ];
           fhir:ElementDefinition.condition [
             fhir:value "cmp-1";
             fhir:index 0       ];
           fhir:ElementDefinition.constraint [
             fhir:index 0;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ];
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ];
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ];
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element";
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>         ]       ];
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ];
           fhir:ElementDefinition.mapping [
             fhir:index 0;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
             fhir:ElementDefinition.mapping.map [ fhir:value "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]" ]       ], [
             fhir:index 1;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ];
             fhir:ElementDefinition.mapping.map [ fhir:value ".component.section" ]       ]     ]
      ];
      fhir:StructureDefinition.differential [
         fhir:StructureDefinition.differential.element [
           fhir:index 0;
           fhir:Element.id [ fhir:value "Composition" ];
           fhir:ElementDefinition.path [ fhir:value "Composition" ]     ], [
           fhir:index 1;
           fhir:Element.id [ fhir:value "Composition.type" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.type" ];
           fhir:ElementDefinition.short [ fhir:value "Dentistry Referral note" ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:57134-9;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "57134-9" ]         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 2;
           fhir:Element.id [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "code" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ]     ], [
           fhir:index 3;
           fhir:Element.id [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ]     ], [
           fhir:index 4;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "plan_of_treatment_section" ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 5;
           fhir:Element.id [ fhir:value "Composition.section:plan_of_treatment_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
           fhir:ElementDefinition.short [ fhir:value "entry" ]     ], [
           fhir:index 6;
           fhir:Element.id [ fhir:value "Composition.section:assessment_section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "assessment_section" ];
           fhir:ElementDefinition.label [ fhir:value "Assessment Section" ];
           fhir:ElementDefinition.short [ fhir:value "Assessment Section" ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 7;
           fhir:Element.id [ fhir:value "Composition.section:history_of_present_illness_section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "history_of_present_illness_section" ];
           fhir:ElementDefinition.label [ fhir:value "History of Present Illness Section" ];
           fhir:ElementDefinition.short [ fhir:value "History of Present Illness Section" ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 8;
           fhir:Element.id [ fhir:value "Composition.section:procedures_section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "procedures_section" ];
           fhir:ElementDefinition.label [ fhir:value "Procedures Section" ];
           fhir:ElementDefinition.short [ fhir:value "Procedures Section" ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 9;
           fhir:Element.id [ fhir:value "Composition.section:instructions" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "instructions" ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 10;
           fhir:Element.id [ fhir:value "Composition.section:instructions.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 11;
           fhir:Element.id [ fhir:value "Composition.section:instructions.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:69730-0;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "69730-0" ]         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 12;
           fhir:Element.id [ fhir:value "Composition.section:instructions.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ]     ], [
           fhir:index 13;
           fhir:Element.id [ fhir:value "Composition.section:instructions.entry:dental_instructions" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "dental_instructions" ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-communication";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-communication>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 14;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "dental_findings_section" ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 15;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.title" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.title" ];
           fhir:ElementDefinition.short [ fhir:value "title" ];
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 16;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
           fhir:ElementDefinition.max [ fhir:value "1" ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:8704-9;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "8704-9" ]         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 17;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ]     ], [
           fhir:index 18;
           fhir:Element.id [ fhir:value "Composition.section:dental_findings_section.entry:dental_findings_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "dental_findings_entry" ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-findings";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-findings>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ], [
           fhir:index 19;
           fhir:Element.id [ fhir:value "Composition.section:payers_section" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section" ];
           fhir:ElementDefinition.sliceName [ fhir:value "payers_section" ];
           fhir:ElementDefinition.max [ fhir:value "1" ]     ], [
           fhir:index 20;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.code" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.code" ];
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               a loinc:48768-6;
               fhir:Coding.system [ fhir:value "http://loinc.org" ];
               fhir:Coding.code [ fhir:value "48768-6" ]         ]       ]     ], [
           fhir:index 21;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "profile" ];
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "resolve()" ]         ];
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ]     ], [
           fhir:index 22;
           fhir:Element.id [ fhir:value "Composition.section:payers_section.entry:coverage_entry/dental_coverage_entry" ];
           fhir:ElementDefinition.path [ fhir:value "Composition.section.entry" ];
           fhir:ElementDefinition.sliceName [ fhir:value "coverage_entry/dental_coverage_entry" ];
           fhir:ElementDefinition.max [ fhir:value "*" ];
           fhir:ElementDefinition.type [
             fhir:index 0;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ];
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage";
               fhir:index 0;
               fhir:link <http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage>         ]       ];
           fhir:ElementDefinition.mustSupport [ fhir:value "true"^^xsd:boolean ]     ]
      ].

    # - ontology header ------------------------------------------------------------

     a owl:Ontology;
      owl:imports fhir:fhir.ttl.