GP Connect Data Model | FHIR STU3 Representation

Extension: Extension-CareConnect-GPC-ActualProblem-1

Extension-CareConnect-GPC-ActualProblem-1 (Extension)	I		Extension	Element id Extension Short description A reference to a resource that is the actual problem Definition A reference to a Condition, Observation, Immunization, DiagnosticReport, MedicationStatement, ReferralRequest, FamilyMemberHistory or AllergyIntolerance that is the actual problem. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Extension.id Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Comments Note that FHIR strings may not exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Extension.extension Short description Additional Content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. In order 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. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
url		1..1	uriFixed Value	Element id Extension.url Short description identifies the meaning of the extension Definition Source of the definition for the extension code - a logical name or a URL. Comments The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Fixed value https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1 Mappings rim: n/a rim: N/A
valueReference		0..1	Reference(CareConnect-GPC-AllergyIntolerance-1 \| CareConnect-GPC-Condition-1 \| CareConnect-GPC-Observation-1 \| CareConnect-GPC-Immunization-1 \| CareConnect-GPC-DiagnosticReport-1 \| CareConnect-GPC-MedicationStatement-1 \| CareConnect-GPC-ReferralRequest-1 \| CareConnect-FamilyMemberHistory-1)	Element id Extension.valueReference:valueReference Short description A reference to a resource that is the actual problem Definition A reference to a resource that is the actual problem. Data type Reference(CareConnect-GPC-AllergyIntolerance-1 \| CareConnect-GPC-Condition-1 \| CareConnect-GPC-Observation-1 \| CareConnect-GPC-Immunization-1 \| CareConnect-GPC-DiagnosticReport-1 \| CareConnect-GPC-MedicationStatement-1 \| CareConnect-GPC-ReferralRequest-1 \| CareConnect-FamilyMemberHistory-1) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a rim: N/A

Extension
Definition	A reference to a Condition, Observation, Immunization, DiagnosticReport, MedicationStatement, ReferralRequest, FamilyMemberHistory or AllergyIntolerance that is the actual problem.
Cardinality	0...1
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
Extension.id
Definition	unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings may not exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())`
Mappings	rim: n/a
Extension.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. In order 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.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
Extension.url
Definition	Source of the definition for the extension code - a logical name or a URL.
Cardinality	1...1
Type	uri
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())`
Fixed Value	https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1
Mappings	rim: n/a rim: N/A
Extension.valueReference:valueReference
Definition	A reference to a resource that is the actual problem.
Cardinality	0...1
Type	Reference(CareConnect-GPC-AllergyIntolerance-1 \| CareConnect-GPC-Condition-1 \| CareConnect-GPC-Observation-1 \| CareConnect-GPC-Immunization-1 \| CareConnect-GPC-DiagnosticReport-1 \| CareConnect-GPC-MedicationStatement-1 \| CareConnect-GPC-ReferralRequest-1 \| CareConnect-FamilyMemberHistory-1)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())`
Mappings	rim: n/a rim: N/A

<StructureDefinition xmlns="http://hl7.org/fhir">
    <url value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1" />
    <version value="1.0.0" />
    <name value="Extension-CareConnect-GPC-ActualProblem-1" />
    <status value="draft" />
    <date value="2022-03-23" />
    <publisher value="NHS Digital" />
    <contact>
        <name value="Interoperability Team" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
            <use value="work" />
        </telecom>
    </contact>
    <description value="A reference to a Condition, DiagnosticReport, Observation, Immunization, MedicationStatement, ReferralRequest, FamilyMemberHistory, or AllergyIntolerance that is the actual problem." />
    <copyright value="Copyright &#169; 2022+ NHS Digital" />
    <fhirVersion value="3.0.1" />
    <kind value="complex-type" />
    <abstract value="false" />
    <contextType value="resource" />
    <context value="Condition" />
    <type value="Extension" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
    <derivation value="constraint" />
    <snapshot>
        <element id="Extension">
            <path value="Extension" />
            <short value="A reference to a resource that is the actual problem" />
            <definition value="A reference to a Condition, Observation, Immunization, DiagnosticReport, MedicationStatement, ReferralRequest, FamilyMemberHistory or AllergyIntolerance that is the actual problem." />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element" />
                <min value="0" />
                <max value="*" />
            </base>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="Extension.id">
            <path value="Extension.id" />
            <representation value="xmlAttr" />
            <short value="xml:id (or equivalent in JSON)" />
            <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
            <comment value="Note that FHIR strings may not exceed 1MB in size" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Element.id" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="string" />
            </type>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
        </element>
        <element id="Extension.extension">
            <path value="Extension.extension" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="url" />
                </discriminator>
                <description value="Extensions are always sliced by (at least) url" />
                <rules value="open" />
            </slicing>
            <short value="Additional Content defined by implementations" />
            <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
            <comment 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." />
            <alias value="extensions" />
            <alias value="user content" />
            <min value="0" />
            <max value="*" />
            <base>
                <path value="Element.extension" />
                <min value="0" />
                <max value="*" />
            </base>
            <type>
                <code value="Extension" />
            </type>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <constraint>
                <key value="ext-1" />
                <severity value="error" />
                <human value="Must have either extensions or value[x], not both" />
                <expression value="extension.exists() != value.exists()" />
                <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &#39;value&#39;)])" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <representation value="xmlAttr" />
            <short value="identifies the meaning of the extension" />
            <definition value="Source of the definition for the extension code - a logical name or a URL." />
            <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." />
            <min value="1" />
            <max value="1" />
            <base>
                <path value="Extension.url" />
                <min value="1" />
                <max value="1" />
            </base>
            <type>
                <code value="uri" />
            </type>
            <fixedUri value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1" />
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
        <element id="Extension.valueReference:valueReference">
            <path value="Extension.valueReference" />
            <sliceName value="valueReference" />
            <short value="A reference to a resource that is the actual problem" />
            <definition value="A reference to a resource that is the actual problem." />
            <comment value="A stream of bytes, base64 encoded" />
            <min value="0" />
            <max value="1" />
            <base>
                <path value="Extension.value[x]" />
                <min value="0" />
                <max value="1" />
            </base>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Condition-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationStatement-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ReferralRequest-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-FamilyMemberHistory-1" />
            </type>
            <condition value="ele-1" />
            <constraint>
                <key value="ele-1" />
                <severity value="error" />
                <human value="All FHIR elements must have a @value or children" />
                <expression value="hasValue() | (children().count() &gt; id.count())" />
                <xpath value="@value|f:*|h:div" />
            </constraint>
            <mapping>
                <identity value="rim" />
                <map value="n/a" />
            </mapping>
            <mapping>
                <identity value="rim" />
                <map value="N/A" />
            </mapping>
        </element>
    </snapshot>
    <differential>
        <element id="Extension">
            <path value="Extension" />
            <short value="A reference to a resource that is the actual problem" />
            <definition value="A reference to a Condition, Observation, Immunization, DiagnosticReport, MedicationStatement, ReferralRequest, FamilyMemberHistory or AllergyIntolerance that is the actual problem." />
            <max value="1" />
        </element>
        <element id="Extension.url">
            <path value="Extension.url" />
            <fixedUri value="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1" />
        </element>
        <element id="Extension.valueReference:valueReference">
            <path value="Extension.valueReference" />
            <sliceName value="valueReference" />
            <short value="A reference to a resource that is the actual problem" />
            <definition value="A reference to a resource that is the actual problem." />
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Condition-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationStatement-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ReferralRequest-1" />
            </type>
            <type>
                <code value="Reference" />
                <targetProfile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-FamilyMemberHistory-1" />
            </type>
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1",
    "version": "1.0.0",
    "name": "Extension-CareConnect-GPC-ActualProblem-1",
    "status": "draft",
    "date": "2022-03-23",
    "publisher": "NHS Digital",
    "contact":  [
        {
            "name": "Interoperability Team",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net",
                    "use": "work"
                }
            ]
        }
    ],
    "description": "A reference to a Condition, DiagnosticReport, Observation, Immunization, MedicationStatement, ReferralRequest, FamilyMemberHistory, or AllergyIntolerance that is the actual problem.",
    "copyright": "Copyright © 2022+ NHS Digital",
    "fhirVersion": "3.0.1",
    "kind": "complex-type",
    "abstract": false,
    "contextType": "resource",
    "context":  [
        "Condition"
    ],
    "type": "Extension",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
    "derivation": "constraint",
    "snapshot": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "A reference to a resource that is the actual problem",
                "definition": "A reference to a Condition, Observation, Immunization, DiagnosticReport, MedicationStatement, ReferralRequest, FamilyMemberHistory or AllergyIntolerance that is the actual problem.",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element",
                    "min": 0,
                    "max": "*"
                },
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.id",
                "path": "Extension.id",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "xml:id (or equivalent in JSON)",
                "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
                "comment": "Note that FHIR strings may not exceed 1MB in size",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Element.id",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "string"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    }
                ]
            },
            {
                "id": "Extension.extension",
                "path": "Extension.extension",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "url"
                        }
                    ],
                    "description": "Extensions are always sliced by (at least) url",
                    "rules": "open"
                },
                "short": "Additional Content defined by implementations",
                "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
                "comment": "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.",
                "alias":  [
                    "extensions",
                    "user content"
                ],
                "min": 0,
                "max": "*",
                "base": {
                    "path": "Element.extension",
                    "min": 0,
                    "max": "*"
                },
                "type":  [
                    {
                        "code": "Extension"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    },
                    {
                        "key": "ext-1",
                        "severity": "error",
                        "human": "Must have either extensions or value[x], not both",
                        "expression": "extension.exists() != value.exists()",
                        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "representation":  [
                    "xmlAttr"
                ],
                "short": "identifies the meaning of the extension",
                "definition": "Source of the definition for the extension code - a logical name or a URL.",
                "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
                "min": 1,
                "max": "1",
                "base": {
                    "path": "Extension.url",
                    "min": 1,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "uri"
                    }
                ],
                "fixedUri": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1",
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            },
            {
                "id": "Extension.valueReference:valueReference",
                "path": "Extension.valueReference",
                "sliceName": "valueReference",
                "short": "A reference to a resource that is the actual problem",
                "definition": "A reference to a resource that is the actual problem.",
                "comment": "A stream of bytes, base64 encoded",
                "min": 0,
                "max": "1",
                "base": {
                    "path": "Extension.value[x]",
                    "min": 0,
                    "max": "1"
                },
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Condition-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationStatement-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ReferralRequest-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-FamilyMemberHistory-1"
                    }
                ],
                "condition":  [
                    "ele-1"
                ],
                "constraint":  [
                    {
                        "key": "ele-1",
                        "severity": "error",
                        "human": "All FHIR elements must have a @value or children",
                        "expression": "hasValue() | (children().count() > id.count())",
                        "xpath": "@value|f:*|h:div"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "rim",
                        "map": "n/a"
                    },
                    {
                        "identity": "rim",
                        "map": "N/A"
                    }
                ]
            }
        ]
    },
    "differential": {
        "element":  [
            {
                "id": "Extension",
                "path": "Extension",
                "short": "A reference to a resource that is the actual problem",
                "definition": "A reference to a Condition, Observation, Immunization, DiagnosticReport, MedicationStatement, ReferralRequest, FamilyMemberHistory or AllergyIntolerance that is the actual problem.",
                "max": "1"
            },
            {
                "id": "Extension.url",
                "path": "Extension.url",
                "fixedUri": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1"
            },
            {
                "id": "Extension.valueReference:valueReference",
                "path": "Extension.valueReference",
                "sliceName": "valueReference",
                "short": "A reference to a resource that is the actual problem",
                "definition": "A reference to a resource that is the actual problem.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Condition-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationStatement-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ReferralRequest-1"
                    },
                    {
                        "code": "Reference",
                        "targetProfile": "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-FamilyMemberHistory-1"
                    }
                ]
            }
        ]
    }
}