{
  "resourceType": "StructureDefinition",
  "id": "2.16.840.1.113883.3.1937.777.28.4.211--20210119160723v2",
  "meta": {
    "lastUpdated": "2021-02-19T13:28:38.056+00:00"
  },
  "language": "en-GB",
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
      "valuePeriod": {
        "start": "2021-01-19T15:07:23+00:00"
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  ],
  "url": "https://theprsb.org/fhir/StructureDefinition/allergies_and_adverse_reactions",
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      "use": "official",
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    }
  ],
  "version": "2021-01-19T16:07:23",
  "name": "PRSBAllergies",
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  "date": "2021-02-19T13:26:22.8167255+00:00",
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  "kind": "logical",
  "abstract": true,
  "type": "allergies_and_adverse_reactions",
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  "derivation": "specialization",
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        "id": "allergies_and_adverse_reactions",
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        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry",
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        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.modifierExtension",
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        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.causative_agent",
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        "definition": "The agent such as food, drug or substances that has caused or may cause an allergy, intolerance or adverse reaction in this person Or “No known drug allergies or adverse reactions” Or “Information not available”",
        "min": 0,
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        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.causative_agent.modifierExtension",
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        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
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        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.causative_agent.coded_value",
        "short": "Coded value",
        "definition": "The coded value for causative agent",
        "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
        "requirements": "Allergyintolerance.code",
        "min": 0,
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        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.causative_agent.coded_value",
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        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.causative_agent.free_text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.causative_agent.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no code is available",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.causative_agent.free_text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster",
        "short": "Reaction details cluster",
        "definition": "Details of the reaction.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.id",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.extension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.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. 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.",
        "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.modifierExtension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "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).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.date",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.date",
        "short": "Date",
        "definition": "The date that the reaction was identified.",
        "requirements": "Allergyintolerance.asserteddate",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.date",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location",
        "short": "Location",
        "definition": "Details of where the allergy was identified.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.id",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.extension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.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. 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.",
        "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.modifierExtension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "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).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.coded_value",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.coded_value",
        "short": "Coded value",
        "definition": "The coded value for location.",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "requirements": "Location.identifier",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.coded_value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 5,
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.free_text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no code is available",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.free_text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance",
        "short": "Substance",
        "definition": "The substance, or a class of substances, that is considered to be responsible for the adverse reaction.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.id",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.extension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.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. 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.",
        "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.modifierExtension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "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).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.coded_value",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.coded_value",
        "short": "Coded value",
        "definition": "The coded value for substance",
        "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
        "requirements": "AllergyIntolerance. reaction.substance",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.coded_value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.free_text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no code is available",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.free_text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction",
        "short": "Description of reaction",
        "definition": "A description of the manifestation of the allergic or adverse reaction experienced by the person. For example, skin rash.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.id",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.extension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.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. 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.",
        "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.modifierExtension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "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).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.coded_value",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.coded_value",
        "short": "Coded value",
        "definition": "The coded value for description of reaction.",
        "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
        "requirements": "AllergyIntolerance.reaction.manifestation",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.coded_value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.free_text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no code is available",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.free_text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.onset_date",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.onset_date",
        "short": "Onset date",
        "definition": "Date and time when manifestations showed",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.onset_date",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity",
        "short": "Severity",
        "definition": "A description of the severity of the reaction.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.id",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.extension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.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. 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.",
        "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.modifierExtension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "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).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.coded_value",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.coded_value",
        "short": "Coded value",
        "definition": "The coded value for severity",
        "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
        "requirements": "AllergyIntolerance.reaction.severity",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.coded_value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.free_text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no code is available",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.free_text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty",
        "short": "Certainty",
        "definition": "A description of the certainty that the stated causative agent caused the allergic or adverse reaction.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.id",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.extension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.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. 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.",
        "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
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        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.modifierExtension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "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).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.coded_value",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.coded_value",
        "short": "Coded value",
        "definition": "The coded value for certainty.",
        "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
        "requirements": "AllergyIntolerance.verificationStatus",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.coded_value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.free_text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no code is available",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.free_text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure",
        "short": "Route of exposure",
        "definition": "The route the person was exposed to the substance",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.id",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.extension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.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. 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.",
        "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.modifierExtension",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.modifierExtension",
        "short": "Extensions that cannot be ignored even if unrecognized",
        "definition": "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).",
        "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.",
        "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
        "alias": [
          "extensions",
          "user content",
          "modifiers"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "BackboneElement.modifierExtension",
          "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() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "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')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": true,
        "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
        "isSummary": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.coded_value",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.coded_value",
        "short": "Coded value",
        "definition": "The coded value for route of exposure",
        "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
        "requirements": "AllergyIntolerance.exposureroute",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.coded_value",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.free_text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no coded text available",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.free_text",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.comment",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.comment",
        "short": "Comment",
        "definition": "Any additional comment or clarification about the adverse reaction.",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.comment",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.type_of_reaction",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.type_of_reaction",
        "short": "Type of reaction",
        "definition": "The type of reaction experienced by the person (allergic, adverse, intolerance)",
        "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
        "requirements": "AllergyIntolerance.type",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.type_of_reaction",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "v2",
            "map": "CE/CNE/CWE"
          },
          {
            "identity": "rim",
            "map": "CD"
          },
          {
            "identity": "orim",
            "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.evidence",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.evidence",
        "short": "Evidence",
        "definition": "Results of investigations that confirmed the certainty of the diagnosis. Examples might include results of skin prick allergy tests",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "requirements": "AllergyIntolerance.extension.evidence",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.evidence",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.date_first_experienced",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.date_first_experienced",
        "short": "Date first experienced",
        "definition": "When the reaction was first experienced. May be a date or partial date (e.g. year) or text (e.g. during childhood)",
        "requirements": "AllergyIntolerance.onset",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.date_first_experienced",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.probability_of_recurrence",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.probability_of_recurrence",
        "short": "Probability of recurrence",
        "definition": "Probability of the reaction (allergic, adverse, intolerant) occurring.",
        "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
        "requirements": "AllergyIntolerance.extension.ProbabilityOfRecurrence",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.probability_of_recurrence",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.performing_professional",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.performing_professional",
        "short": "A reference from one resource to another",
        "definition": "A reference from one resource to another.",
        "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.performing_professional",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://theprsb.org/fhir/StructureDefinition/Practitioner",
              "https://theprsb.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.person_completing_record",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.person_completing_record",
        "short": "A reference from one resource to another",
        "definition": "A reference from one resource to another.",
        "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.person_completing_record",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://theprsb.org/fhir/StructureDefinition/Practitioner",
              "https://theprsb.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ref-1",
            "severity": "error",
            "human": "SHALL have a contained resource if a local reference is provided",
            "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))",
            "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Reference"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          },
          {
            "identity": "rim",
            "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)"
          }
        ]
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.date_record_completed",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "normative"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.date_record_completed",
        "short": "Primitive Type dateTime",
        "definition": "A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.date_record_completed",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "dateTime",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/dateTime"
            ]
          }
        ],
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "2.16.840.1.113883.3.1937.777.28.2.282--20181031000000",
        "path": "allergies_and_adverse_reactions",
        "short": "Allergies and adverse reactions",
        "definition": "Allergies and adverse reactions",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry",
        "short": "Allergies and adverse reactions record entry",
        "definition": "This is a allergies and adverse reactions record entry. There may be 1 to many record entries under a section. \r\n\r\nEach record entry is made up of a number of elements or data items.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.causative_agent",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.causative_agent",
        "short": "Causative agent",
        "definition": "The agent such as food, drug or substances that has caused or may cause an allergy, intolerance or adverse reaction in this person Or “No known drug allergies or adverse reactions” Or “Information not available”",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.causative_agent.coded_value",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.causative_agent.coded_value",
        "short": "Coded value",
        "definition": "The coded value for causative agent",
        "requirements": "Allergyintolerance.code",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.causative_agent.free_text",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.causative_agent.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no code is available",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster",
        "short": "Reaction details cluster",
        "definition": "Details of the reaction.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.date",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.date",
        "short": "Date",
        "definition": "The date that the reaction was identified.",
        "requirements": "Allergyintolerance.asserteddate",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location",
        "short": "Location",
        "definition": "Details of where the allergy was identified.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.coded_value",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.coded_value",
        "short": "Coded value",
        "definition": "The coded value for location.",
        "requirements": "Location.identifier",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 5,
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.free_text",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.location.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no code is available",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance",
        "short": "Substance",
        "definition": "The substance, or a class of substances, that is considered to be responsible for the adverse reaction.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.coded_value",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.coded_value",
        "short": "Coded value",
        "definition": "The coded value for substance",
        "requirements": "AllergyIntolerance. reaction.substance",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.free_text",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.substance.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no code is available",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction",
        "short": "Description of reaction",
        "definition": "A description of the manifestation of the allergic or adverse reaction experienced by the person. For example, skin rash.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.coded_value",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.coded_value",
        "short": "Coded value",
        "definition": "The coded value for description of reaction.",
        "requirements": "AllergyIntolerance.reaction.manifestation",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.free_text",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.description_of_reaction.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no code is available",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.onset_date",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.onset_date",
        "short": "Onset date",
        "definition": "Date and time when manifestations showed",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity",
        "short": "Severity",
        "definition": "A description of the severity of the reaction.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.coded_value",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.coded_value",
        "short": "Coded value",
        "definition": "The coded value for severity",
        "requirements": "AllergyIntolerance.reaction.severity",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.free_text",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.severity.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no code is available",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty",
        "short": "Certainty",
        "definition": "A description of the certainty that the stated causative agent caused the allergic or adverse reaction.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.coded_value",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.coded_value",
        "short": "Coded value",
        "definition": "The coded value for certainty.",
        "requirements": "AllergyIntolerance.verificationStatus",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.free_text",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.certainty.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no code is available",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure",
        "short": "Route of exposure",
        "definition": "The route the person was exposed to the substance",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.coded_value",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.coded_value",
        "short": "Coded value",
        "definition": "The coded value for route of exposure",
        "requirements": "AllergyIntolerance.exposureroute",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.free_text",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.route_of_exposure.free_text",
        "short": "Free text",
        "definition": "Free text field to be used if no coded text available",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.comment",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.reaction_details_cluster.comment",
        "short": "Comment",
        "definition": "Any additional comment or clarification about the adverse reaction.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.type_of_reaction",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.type_of_reaction",
        "short": "Type of reaction",
        "definition": "The type of reaction experienced by the person (allergic, adverse, intolerance)",
        "requirements": "AllergyIntolerance.type",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.evidence",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.evidence",
        "short": "Evidence",
        "definition": "Results of investigations that confirmed the certainty of the diagnosis. Examples might include results of skin prick allergy tests",
        "requirements": "AllergyIntolerance.extension.evidence",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.date_first_experienced",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.date_first_experienced",
        "short": "Date first experienced",
        "definition": "When the reaction was first experienced. May be a date or partial date (e.g. year) or text (e.g. during childhood)",
        "requirements": "AllergyIntolerance.onset",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.probability_of_recurrence",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.probability_of_recurrence",
        "short": "Probability of recurrence",
        "definition": "Probability of the reaction (allergic, adverse, intolerant) occurring.",
        "requirements": "AllergyIntolerance.extension.ProbabilityOfRecurrence",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ],
        "maxLength": 150,
        "mustSupport": true
      },
      {
        "id": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.performing_professional",
        "path": "allergies_and_adverse_reactions.allergies_and_adverse_reactions_record_entry.performing_professional",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
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  }
}