MyHealth@Eu Patient Summary
1.0.0-poc - qa-preview 150

MyHealth@Eu Patient Summary - Downloaded Version 1.0.0-poc See the Directory of published versions

## Resource Profile: ImmunizationMyHealthEuEps - TTL Profile

Page standards status: Draft | Maturity Level: 1

TTL representation of the immunization-myhealtheu-eps resource profile.

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

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

    <http://hl7.org/fhir/StructureDefinition/immunization-myhealtheu-eps> a fhir:StructureDefinition ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:Resource.id [ fhir:value "immunization-myhealtheu-eps"] ;
      fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "extensions" ] ;
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition immunization-myhealtheu-eps</b></p><a name=\"immunization-myhealtheu-eps\"> </a><a name=\"hcimmunization-myhealtheu-eps\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-immunization-myhealtheu-eps-definitions.html#Immunization\">Immunization</a><a name=\"Immunization\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://fhir.ehdsi.eu/core/1.0.0/StructureDefinition-immunization-myhealtheu-core.html\">ImmunizationMyHealthCore</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-weight:bold\">This profile also imposes the profile </span><a style=\"font-weight:bold; font-weight:bold; font-weight:bold; font-weight:bold\" href=\"http://hl7.eu/fhir/eps/1.0.0-ballot/StructureDefinition-immunization-obl-eu-eps.html\">Immunization - Obligations (EPS)</a></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-immunization-myhealtheu-eps-definitions.html#Immunization.patient\">patient</a><a name=\"Immunization.patient\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-patient-myhealtheu-eps.html\">Patient: MyHealth@EU EPS</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Who was immunized</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> Slices for performer<a name=\"Immunization.performer\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Content/Rules for all slices</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck025.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-immunization-myhealtheu-eps-definitions.html#Immunization.performer:administeringCentreOrHp\" title=\"Slice administeringCentreOrHp\">performer:administeringCentreOrHp</a><a name=\"Immunization.performer:administeringCentreOrHp\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Administering centre</span></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0240.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-immunization-myhealtheu-eps-definitions.html#Immunization.performer:administeringCentreOrHp.actor\">actor</a><a name=\"Immunization.performer:administeringCentreOrHp.actor\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-organization-myhealtheu-eps.html\">Organization: MyHealth@EU EPS</a> | <a href=\"StructureDefinition-practitionerRole-myhealtheu-eps.html\">PractitionerRole: MyHealth@EU EPS</a> | <a href=\"StructureDefinition-practitioner-myhealtheu-eps.html\">Practitioner: MyHealth@EU EPS</a>)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Individual or organization who was performing</span></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
      ] ;
      fhir:DomainResource.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
         fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ]
      ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
         fhir:Extension.valueCode [ fhir:value "draft" ]
      ], [
         fhir:index 2 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-imposeProfile" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "http://hl7.eu/fhir/eps/StructureDefinition/immunization-obl-eu-eps" ;
           fhir:link <http://hl7.eu/fhir/eps/StructureDefinition/immunization-obl-eu-eps>
         ]
      ] ;
      fhir:StructureDefinition.url [ fhir:value "http://fhir.ehdsi.eu/eps/StructureDefinition/immunization-myhealtheu-eps"] ;
      fhir:StructureDefinition.version [ fhir:value "1.0.0-poc"] ;
      fhir:StructureDefinition.name [ fhir:value "ImmunizationMyHealthEuEps"] ;
      fhir:StructureDefinition.title [ fhir:value "Immunization: MyHealth@EU EPS"] ;
      fhir:StructureDefinition.status [ fhir:value "draft"] ;
      fhir:StructureDefinition.date [ fhir:value "2026-07-16T20:17:46+02:00"^^xsd:dateTime] ;
      fhir:StructureDefinition.publisher [ fhir:value "MyHealth@Eu"] ;
      fhir:StructureDefinition.contact [
         fhir:index 0 ;
         fhir:ContactDetail.name [ fhir:value "MyHealth@Eu" ] ;
         fhir:ContactDetail.telecom [
           fhir:index 0 ;
           fhir:ContactPoint.system [ fhir:value "url" ] ;
           fhir:ContactPoint.value [ fhir:value "https://health.ec.europa.eu/other-pages/basic-page/myhealtheu-flyer-addressed-patients-and-health-professionals_en" ]
         ]
      ] ;
      fhir:StructureDefinition.description [ fhir:value "This profile constrains the Immunization resource for the purpose of the MyHealth@EU EPS."] ;
      fhir:StructureDefinition.jurisdiction [
         fhir:index 0 ;
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
           fhir:Coding.code [ fhir:value "150" ] ;
           fhir:Coding.display [ fhir:value "Europe" ]
         ]
      ] ;
      fhir:StructureDefinition.copyright [ fhir:value "Copyright European Union, represented by the European Commission - DG SANTE. Licenced under CC-BY-4.0."] ;
      fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"] ;
      fhir:StructureDefinition.mapping [
         fhir:index 0 ;
         fhir:StructureDefinition.mapping.identity [ fhir:value "workflow" ] ;
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/workflow" ] ;
         fhir:StructureDefinition.mapping.name [ fhir:value "Workflow Pattern" ]
      ], [
         fhir:index 1 ;
         fhir:StructureDefinition.mapping.identity [ fhir:value "v2" ] ;
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v2" ] ;
         fhir:StructureDefinition.mapping.name [ fhir:value "HL7 v2 Mapping" ]
      ], [
         fhir:index 2 ;
         fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ] ;
         fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ]
      ], [
         fhir:index 3 ;
         fhir:StructureDefinition.mapping.identity [ fhir:value "w5" ] ;
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir/fivews" ] ;
         fhir:StructureDefinition.mapping.name [ fhir:value "FiveWs Pattern Mapping" ]
      ], [
         fhir:index 4 ;
         fhir:StructureDefinition.mapping.identity [ fhir:value "cda" ] ;
         fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3/cda" ] ;
         fhir:StructureDefinition.mapping.name [ fhir:value "CDA (R2)" ]
      ] ;
      fhir:StructureDefinition.kind [ fhir:value "resource"] ;
      fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean] ;
      fhir:StructureDefinition.type [ fhir:value "Immunization"] ;
      fhir:StructureDefinition.baseDefinition [
         fhir:value "http://fhir.ehdsi.eu/core/StructureDefinition/immunization-myhealtheu-core" ;
         fhir:link <http://fhir.ehdsi.eu/core/StructureDefinition/immunization-myhealtheu-core>
      ] ;
      fhir:StructureDefinition.derivation [ fhir:value "constraint"] ;
      fhir:StructureDefinition.snapshot [
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version" ] ;
           fhir:Extension.valueString [ fhir:value "1.0.0" ]
         ] ;
         fhir:StructureDefinition.snapshot.element [
           fhir:index 0 ;
           fhir:Element.id [ fhir:value "Immunization" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization" ] ;
           fhir:ElementDefinition.short [ fhir:value "Immunization event information" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-2" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL NOT contain nested Resources" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "contained.contained.empty()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(parent::f:contained and f:contained)" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-3" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
             ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-4" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
             ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-5" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "If a resource is contained in another resource, it SHALL NOT have a security label" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "contained.meta.security.empty()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "not(exists(f:contained/*/f:meta/f:security))" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
             ]
           ], [
             fhir:index 4 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice" ] ;
               fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
             ], [
               fhir:index 1 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation" ] ;
               fhir:Extension.valueMarkdown [ fhir:value "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." ]
             ] ;
             fhir:ElementDefinition.constraint.key [ fhir:value "dom-6" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "warning" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "A resource should have narrative for robust management" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "text.`div`.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:text/h:div)" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DomainResource" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/DomainResource>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Entity. Role, or Act" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "VXU_V04" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "SubstanceAdministration" ]
           ]
         ], [
           fhir:index 1 ;
           fhir:Element.id [ fhir:value "Immunization.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.id" ] ;
           fhir:ElementDefinition.short [ fhir:value "Logical id of this artifact" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The only time that a resource does not have an id is when it is being submitted to the server using a create operation." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Resource.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "id" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 2 ;
           fhir:Element.id [ fhir:value "Immunization.meta" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.meta" ] ;
           fhir:ElementDefinition.short [ fhir:value "Metadata about the resource" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Resource.meta" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Meta" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 3 ;
           fhir:Element.id [ fhir:value "Immunization.implicitRules" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.implicitRules" ] ;
           fhir:ElementDefinition.short [ fhir:value "A set of rules under which this content was created" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Resource.implicitRules" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "uri" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ]
         ], [
           fhir:index 4 ;
           fhir:Element.id [ fhir:value "Immunization.language" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.language" ] ;
           fhir:ElementDefinition.short [ fhir:value "Language of the immunization content" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The base language in which the resource is written." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Resource.language" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://terminology.ehdsi.eu/ValueSet/eHDSILanguage" ;
               fhir:link <http://terminology.ehdsi.eu/ValueSet/eHDSILanguage>
             ]
           ]
         ], [
           fhir:index 5 ;
           fhir:Element.id [ fhir:value "Immunization.text" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.text" ] ;
           fhir:ElementDefinition.short [ fhir:value "Text summary of the resource, for human interpretation" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "narrative" ;
             fhir:index 0
           ], [
             fhir:value "html" ;
             fhir:index 1
           ], [
             fhir:value "xhtml" ;
             fhir:index 2
           ], [
             fhir:value "display" ;
             fhir:index 3
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.text" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Narrative" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Act.text?" ]
           ]
         ], [
           fhir:index 6 ;
           fhir:Element.id [ fhir:value "Immunization.contained" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.contained" ] ;
           fhir:ElementDefinition.short [ fhir:value "Contained, inline Resources" ] ;
           fhir:ElementDefinition.definition [ fhir:value "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." ] ;
           fhir:ElementDefinition.comment [ fhir:value "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "inline resources" ;
             fhir:index 0
           ], [
             fhir:value "anonymous resources" ;
             fhir:index 1
           ], [
             fhir:value "contained resources" ;
             fhir:index 2
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.contained" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Resource" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 7 ;
           fhir:Element.id [ fhir:value "Immunization.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 8 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "code" ] ;
               fhir:Extension.valueCode [ fhir:value "SHOULD:handle" ]
             ], [
               fhir:index 1 ;
               fhir:Extension.url [ fhir:value "actor" ] ;
               fhir:Extension.valueCanonical [
                 fhir:value "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi" ;
                 fhir:link <http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi>
               ]
             ], [
               fhir:index 2 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
               fhir:Extension.valueCanonical [
                 fhir:value "http://fhir.ehdsi.eu/core/StructureDefinition/immunization-myhealtheu-core|1.0.0" ;
                 fhir:link <http://fhir.ehdsi.eu/core/StructureDefinition/immunization-myhealtheu-core|1.0.0>
               ]
             ] ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "administeredProduct" ] ;
           fhir:ElementDefinition.short [ fhir:value "R5: Product that was administered (new)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "R5: `Immunization.administeredProduct` (new:CodeableReference(Medication))" ] ;
           fhir:ElementDefinition.comment [ fhir:value "Element `Immunization.administeredProduct` has a context of Immunization based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.administeredProduct` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ;
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct>
             ]
           ] ;
           fhir:ElementDefinition.condition [
             fhir:value "ele-1" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 9 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 10 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 11 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:_datatype" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "_datatype" ] ;
           fhir:ElementDefinition.short [ fhir:value "DataType slice for a FHIR R5 `CodeableReference` value" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4" ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 12 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:_datatype.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 13 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:_datatype.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 14 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:_datatype.url" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.url" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "uri" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/StructureDefinition/_datatype" ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 15 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:_datatype.value[x]" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.value[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "Value of extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Must be: CodeableReference" ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.fixedString [ fhir:value "CodeableReference" ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 16 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:concept" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "concept" ] ;
           fhir:ElementDefinition.short [ fhir:value "R5: Reference to a concept (by class)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "R5: `CodeableReference.concept`" ] ;
           fhir:ElementDefinition.comment [ fhir:value "Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 17 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:concept.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 18 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:concept.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 19 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:concept.url" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.url" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "uri" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.fixedUri [ fhir:value "concept" ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 20 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:concept.value[x]" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.value[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "Reference to a concept (by class)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 21 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:reference" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "reference" ] ;
           fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 22 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:reference.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 23 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:reference.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "0" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 24 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:reference.url" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.url" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "uri" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.fixedUri [ fhir:value "reference" ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 25 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.extension:reference.value[x]" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.value[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "Reference to a resource (by instance)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A reference to a resource the provides exact details about the information being referenced." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://fhir.ehdsi.eu/core/StructureDefinition/medication-myhealtheu-core" ;
               fhir:index 0 ;
               fhir:link <http://fhir.ehdsi.eu/core/StructureDefinition/medication-myhealtheu-core>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 26 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.url" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.url" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "uri" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.administeredProduct" ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 27 ;
           fhir:Element.id [ fhir:value "Immunization.extension:administeredProduct.value[x]" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.value[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "Value of extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "0" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "base64Binary" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.type.code [ fhir:value "canonical" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ], [
             fhir:index 4 ;
             fhir:ElementDefinition.type.code [ fhir:value "date" ]
           ], [
             fhir:index 5 ;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
           ], [
             fhir:index 6 ;
             fhir:ElementDefinition.type.code [ fhir:value "decimal" ]
           ], [
             fhir:index 7 ;
             fhir:ElementDefinition.type.code [ fhir:value "id" ]
           ], [
             fhir:index 8 ;
             fhir:ElementDefinition.type.code [ fhir:value "instant" ]
           ], [
             fhir:index 9 ;
             fhir:ElementDefinition.type.code [ fhir:value "integer" ]
           ], [
             fhir:index 10 ;
             fhir:ElementDefinition.type.code [ fhir:value "markdown" ]
           ], [
             fhir:index 11 ;
             fhir:ElementDefinition.type.code [ fhir:value "oid" ]
           ], [
             fhir:index 12 ;
             fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ]
           ], [
             fhir:index 13 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ], [
             fhir:index 14 ;
             fhir:ElementDefinition.type.code [ fhir:value "time" ]
           ], [
             fhir:index 15 ;
             fhir:ElementDefinition.type.code [ fhir:value "unsignedInt" ]
           ], [
             fhir:index 16 ;
             fhir:ElementDefinition.type.code [ fhir:value "uri" ]
           ], [
             fhir:index 17 ;
             fhir:ElementDefinition.type.code [ fhir:value "url" ]
           ], [
             fhir:index 18 ;
             fhir:ElementDefinition.type.code [ fhir:value "uuid" ]
           ], [
             fhir:index 19 ;
             fhir:ElementDefinition.type.code [ fhir:value "Address" ]
           ], [
             fhir:index 20 ;
             fhir:ElementDefinition.type.code [ fhir:value "Age" ]
           ], [
             fhir:index 21 ;
             fhir:ElementDefinition.type.code [ fhir:value "Annotation" ]
           ], [
             fhir:index 22 ;
             fhir:ElementDefinition.type.code [ fhir:value "Attachment" ]
           ], [
             fhir:index 23 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ], [
             fhir:index 24 ;
             fhir:ElementDefinition.type.code [ fhir:value "Coding" ]
           ], [
             fhir:index 25 ;
             fhir:ElementDefinition.type.code [ fhir:value "ContactPoint" ]
           ], [
             fhir:index 26 ;
             fhir:ElementDefinition.type.code [ fhir:value "Count" ]
           ], [
             fhir:index 27 ;
             fhir:ElementDefinition.type.code [ fhir:value "Distance" ]
           ], [
             fhir:index 28 ;
             fhir:ElementDefinition.type.code [ fhir:value "Duration" ]
           ], [
             fhir:index 29 ;
             fhir:ElementDefinition.type.code [ fhir:value "HumanName" ]
           ], [
             fhir:index 30 ;
             fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
           ], [
             fhir:index 31 ;
             fhir:ElementDefinition.type.code [ fhir:value "Money" ]
           ], [
             fhir:index 32 ;
             fhir:ElementDefinition.type.code [ fhir:value "Period" ]
           ], [
             fhir:index 33 ;
             fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]
           ], [
             fhir:index 34 ;
             fhir:ElementDefinition.type.code [ fhir:value "Range" ]
           ], [
             fhir:index 35 ;
             fhir:ElementDefinition.type.code [ fhir:value "Ratio" ]
           ], [
             fhir:index 36 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ]
           ], [
             fhir:index 37 ;
             fhir:ElementDefinition.type.code [ fhir:value "SampledData" ]
           ], [
             fhir:index 38 ;
             fhir:ElementDefinition.type.code [ fhir:value "Signature" ]
           ], [
             fhir:index 39 ;
             fhir:ElementDefinition.type.code [ fhir:value "Timing" ]
           ], [
             fhir:index 40 ;
             fhir:ElementDefinition.type.code [ fhir:value "ContactDetail" ]
           ], [
             fhir:index 41 ;
             fhir:ElementDefinition.type.code [ fhir:value "Contributor" ]
           ], [
             fhir:index 42 ;
             fhir:ElementDefinition.type.code [ fhir:value "DataRequirement" ]
           ], [
             fhir:index 43 ;
             fhir:ElementDefinition.type.code [ fhir:value "Expression" ]
           ], [
             fhir:index 44 ;
             fhir:ElementDefinition.type.code [ fhir:value "ParameterDefinition" ]
           ], [
             fhir:index 45 ;
             fhir:ElementDefinition.type.code [ fhir:value "RelatedArtifact" ]
           ], [
             fhir:index 46 ;
             fhir:ElementDefinition.type.code [ fhir:value "TriggerDefinition" ]
           ], [
             fhir:index 47 ;
             fhir:ElementDefinition.type.code [ fhir:value "UsageContext" ]
           ], [
             fhir:index 48 ;
             fhir:ElementDefinition.type.code [ fhir:value "Dosage" ]
           ], [
             fhir:index 49 ;
             fhir:ElementDefinition.type.code [ fhir:value "Meta" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 28 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "informationSource" ] ;
           fhir:ElementDefinition.short [ fhir:value "R5: Indicates the source of a  reported record (new)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "R5: `Immunization.informationSource` (new:CodeableReference(Patient,Practitioner,PractitionerRole,RelatedPerson,Organization))" ] ;
           fhir:ElementDefinition.comment [ fhir:value "Element `Immunization.informationSource` has a context of Immunization based on following the parent source element upwards and mapping to `Immunization`.\nElement `Immunization.informationSource` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).\nTypically will not be populated if primarySource = True, not required even if primarySource = False." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ;
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.informationSource" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.informationSource>
             ]
           ] ;
           fhir:ElementDefinition.condition [
             fhir:value "ele-1" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 29 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 30 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 31 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:_datatype" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "_datatype" ] ;
           fhir:ElementDefinition.short [ fhir:value "DataType slice for a FHIR R5 `CodeableReference` value" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Slice to indicate the presence of a R5 `CodeableReference` in FHIR R4" ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 32 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:_datatype.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 33 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:_datatype.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 34 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:_datatype.url" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.url" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "uri" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/StructureDefinition/_datatype" ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 35 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:_datatype.value[x]" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.value[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "Value of extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Must be: CodeableReference" ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.fixedString [ fhir:value "CodeableReference" ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 36 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:concept" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "concept" ] ;
           fhir:ElementDefinition.short [ fhir:value "R5: Reference to a concept (by class)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "R5: `CodeableReference.concept`" ] ;
           fhir:ElementDefinition.comment [ fhir:value "Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Element `CodeableReference.concept` is mapped to FHIR R4 element `CodeableConcept` as `Equivalent`." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 37 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:concept.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 38 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:concept.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 39 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:concept.url" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.url" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "uri" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.fixedUri [ fhir:value "concept" ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 40 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:concept.value[x]" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.value[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "Reference to a concept (by class)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A reference to a concept - e.g. the information is identified by its general class to the degree of precision found in the terminology." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/immunization-origin|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/immunization-origin|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 41 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:reference" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "reference" ] ;
           fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 42 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:reference.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 43 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:reference.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "0" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 44 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:reference.url" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.url" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "uri" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.fixedUri [ fhir:value "reference" ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 45 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.extension:reference.value[x]" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.extension.value[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "Reference to a resource (by instance)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A reference to a resource the provides exact details about the information being referenced." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core" ;
               fhir:index 0 ;
               fhir:link <http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core>
             ], [
               fhir:value "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core" ;
               fhir:index 1 ;
               fhir:link <http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core>
             ], [
               fhir:value "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core" ;
               fhir:index 2 ;
               fhir:link <http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core>
             ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ;
               fhir:index 3 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson>
             ], [
               fhir:value "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core" ;
               fhir:index 4 ;
               fhir:link <http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 46 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.url" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.url" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "uri" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-Immunization.informationSource" ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 47 ;
           fhir:Element.id [ fhir:value "Immunization.extension:informationSource.value[x]" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.extension.value[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "Value of extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "0" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "base64Binary" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.type.code [ fhir:value "canonical" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ], [
             fhir:index 4 ;
             fhir:ElementDefinition.type.code [ fhir:value "date" ]
           ], [
             fhir:index 5 ;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
           ], [
             fhir:index 6 ;
             fhir:ElementDefinition.type.code [ fhir:value "decimal" ]
           ], [
             fhir:index 7 ;
             fhir:ElementDefinition.type.code [ fhir:value "id" ]
           ], [
             fhir:index 8 ;
             fhir:ElementDefinition.type.code [ fhir:value "instant" ]
           ], [
             fhir:index 9 ;
             fhir:ElementDefinition.type.code [ fhir:value "integer" ]
           ], [
             fhir:index 10 ;
             fhir:ElementDefinition.type.code [ fhir:value "markdown" ]
           ], [
             fhir:index 11 ;
             fhir:ElementDefinition.type.code [ fhir:value "oid" ]
           ], [
             fhir:index 12 ;
             fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ]
           ], [
             fhir:index 13 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ], [
             fhir:index 14 ;
             fhir:ElementDefinition.type.code [ fhir:value "time" ]
           ], [
             fhir:index 15 ;
             fhir:ElementDefinition.type.code [ fhir:value "unsignedInt" ]
           ], [
             fhir:index 16 ;
             fhir:ElementDefinition.type.code [ fhir:value "uri" ]
           ], [
             fhir:index 17 ;
             fhir:ElementDefinition.type.code [ fhir:value "url" ]
           ], [
             fhir:index 18 ;
             fhir:ElementDefinition.type.code [ fhir:value "uuid" ]
           ], [
             fhir:index 19 ;
             fhir:ElementDefinition.type.code [ fhir:value "Address" ]
           ], [
             fhir:index 20 ;
             fhir:ElementDefinition.type.code [ fhir:value "Age" ]
           ], [
             fhir:index 21 ;
             fhir:ElementDefinition.type.code [ fhir:value "Annotation" ]
           ], [
             fhir:index 22 ;
             fhir:ElementDefinition.type.code [ fhir:value "Attachment" ]
           ], [
             fhir:index 23 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ], [
             fhir:index 24 ;
             fhir:ElementDefinition.type.code [ fhir:value "Coding" ]
           ], [
             fhir:index 25 ;
             fhir:ElementDefinition.type.code [ fhir:value "ContactPoint" ]
           ], [
             fhir:index 26 ;
             fhir:ElementDefinition.type.code [ fhir:value "Count" ]
           ], [
             fhir:index 27 ;
             fhir:ElementDefinition.type.code [ fhir:value "Distance" ]
           ], [
             fhir:index 28 ;
             fhir:ElementDefinition.type.code [ fhir:value "Duration" ]
           ], [
             fhir:index 29 ;
             fhir:ElementDefinition.type.code [ fhir:value "HumanName" ]
           ], [
             fhir:index 30 ;
             fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
           ], [
             fhir:index 31 ;
             fhir:ElementDefinition.type.code [ fhir:value "Money" ]
           ], [
             fhir:index 32 ;
             fhir:ElementDefinition.type.code [ fhir:value "Period" ]
           ], [
             fhir:index 33 ;
             fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]
           ], [
             fhir:index 34 ;
             fhir:ElementDefinition.type.code [ fhir:value "Range" ]
           ], [
             fhir:index 35 ;
             fhir:ElementDefinition.type.code [ fhir:value "Ratio" ]
           ], [
             fhir:index 36 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ]
           ], [
             fhir:index 37 ;
             fhir:ElementDefinition.type.code [ fhir:value "SampledData" ]
           ], [
             fhir:index 38 ;
             fhir:ElementDefinition.type.code [ fhir:value "Signature" ]
           ], [
             fhir:index 39 ;
             fhir:ElementDefinition.type.code [ fhir:value "Timing" ]
           ], [
             fhir:index 40 ;
             fhir:ElementDefinition.type.code [ fhir:value "ContactDetail" ]
           ], [
             fhir:index 41 ;
             fhir:ElementDefinition.type.code [ fhir:value "Contributor" ]
           ], [
             fhir:index 42 ;
             fhir:ElementDefinition.type.code [ fhir:value "DataRequirement" ]
           ], [
             fhir:index 43 ;
             fhir:ElementDefinition.type.code [ fhir:value "Expression" ]
           ], [
             fhir:index 44 ;
             fhir:ElementDefinition.type.code [ fhir:value "ParameterDefinition" ]
           ], [
             fhir:index 45 ;
             fhir:ElementDefinition.type.code [ fhir:value "RelatedArtifact" ]
           ], [
             fhir:index 46 ;
             fhir:ElementDefinition.type.code [ fhir:value "TriggerDefinition" ]
           ], [
             fhir:index 47 ;
             fhir:ElementDefinition.type.code [ fhir:value "UsageContext" ]
           ], [
             fhir:index 48 ;
             fhir:ElementDefinition.type.code [ fhir:value "Dosage" ]
           ], [
             fhir:index 49 ;
             fhir:ElementDefinition.type.code [ fhir:value "Meta" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element|4.0.1" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 48 ;
           fhir:Element.id [ fhir:value "Immunization.modifierExtension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.modifierExtension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "DomainResource.modifierExtension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 49 ;
           fhir:Element.id [ fhir:value "Immunization.identifier" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.identifier" ] ;
           fhir:ElementDefinition.short [ fhir:value "Identifier of the immunization" ] ;
           fhir:ElementDefinition.definition [ fhir:value "A unique identifier assigned to this immunization record." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.identifier" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.identifier" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.identifier" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".id" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id" ]
           ]
         ], [
           fhir:index 50 ;
           fhir:Element.id [ fhir:value "Immunization.status" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.status" ] ;
           fhir:ElementDefinition.short [ fhir:value "Immunization status." ] ;
           fhir:ElementDefinition.definition [ fhir:value "Indicates the current status of the immunization event." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Will generally be set to show that the immunization has been completed or not done.  This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.status" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "code" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "ImmunizationStatus" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "A set of codes indicating the current status of an Immunization." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/immunization-status|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/immunization-status|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.status" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.status" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "statusCode" ]
           ]
         ], [
           fhir:index 51 ;
           fhir:Element.id [ fhir:value "Immunization.statusReason" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.statusReason" ] ;
           fhir:ElementDefinition.short [ fhir:value "Reason for not performing." ] ;
           fhir:ElementDefinition.definition [ fhir:value "Indicates the reason the immunization event was not performed." ] ;
           fhir:ElementDefinition.comment [ fhir:value "This is generally only used for the status of \"not-done\". The reason for performing the immunization event is captured in reasonCode, not here." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.statusReason" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "ImmunizationStatusReason" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The reason why a vaccine was not administered." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/immunization-status-reason|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/immunization-status-reason|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.statusReason" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde" ]
           ]
         ], [
           fhir:index 52 ;
           fhir:Element.id [ fhir:value "Immunization.vaccineCode" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "code" ] ;
               fhir:Extension.valueCode [ fhir:value "SHOULD:handle" ]
             ], [
               fhir:index 1 ;
               fhir:Extension.url [ fhir:value "actor" ] ;
               fhir:Extension.valueCanonical [
                 fhir:value "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi" ;
                 fhir:link <http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi>
               ]
             ], [
               fhir:index 2 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
               fhir:Extension.valueCanonical [
                 fhir:value "http://fhir.ehdsi.eu/core/StructureDefinition/immunization-myhealtheu-core|1.0.0" ;
                 fhir:link <http://fhir.ehdsi.eu/core/StructureDefinition/immunization-myhealtheu-core|1.0.0>
               ]
             ] ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.vaccineCode" ] ;
           fhir:ElementDefinition.short [ fhir:value "Vaccine product administered" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Vaccine that was administered or was to be administered." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.vaccineCode" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Element.extension [
                 fhir:index 0 ;
                 fhir:Extension.url [ fhir:value "purpose" ] ;
                 fhir:Extension.valueCode [ fhir:value "preferred" ]
               ], [
                 fhir:index 1 ;
                 fhir:Extension.url [ fhir:value "valueSet" ] ;
                 fhir:Extension.valueCanonical [
                   fhir:value "http://hl7.org/fhir/uv/ips/ValueSet/vaccines-whoatc-uv-ips|2.0.0" ;
                   fhir:link <http://hl7.org/fhir/uv/ips/ValueSet/vaccines-whoatc-uv-ips|2.0.0>
                 ]
               ], [
                 fhir:index 2 ;
                 fhir:Extension.url [ fhir:value "documentation" ] ;
                 fhir:Extension.valueMarkdown [ fhir:value "Additional conformance binding to a vaccines value set from the WHO ATC code system for use in specific jurisdictional or other contexts where use of the ATC terminology is preferred." ]
               ], [
                 fhir:index 3 ;
                 fhir:Extension.url [ fhir:value "shortDoco" ] ;
                 fhir:Extension.valueString [ fhir:value "For when WHO ATC code system is preferred" ]
               ] ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/additional-binding" ]
             ], [
               fhir:index 1 ;
               fhir:Element.extension [
                 fhir:index 0 ;
                 fhir:Extension.url [ fhir:value "purpose" ] ;
                 fhir:Extension.valueCode [ fhir:value "preferred" ]
               ], [
                 fhir:index 1 ;
                 fhir:Extension.url [ fhir:value "valueSet" ] ;
                 fhir:Extension.valueCanonical [
                   fhir:value "http://terminology.ehdsi.eu/ValueSet/eHDSIVaccine" ;
                   fhir:link <http://terminology.ehdsi.eu/ValueSet/eHDSIVaccine>
                 ]
               ], [
                 fhir:index 2 ;
                 fhir:Extension.url [ fhir:value "documentation" ] ;
                 fhir:Extension.valueMarkdown [ fhir:value "Additional conformance binding to the cross-border vaccines value set." ]
               ], [
                 fhir:index 3 ;
                 fhir:Extension.url [ fhir:value "shortDoco" ] ;
                 fhir:Extension.valueString [ fhir:value "For EU cross-border use" ]
               ] ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/additional-binding" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://fhir.ehdsi.eu/core/ValueSet/eHDSIVaccineWithExceptions" ;
               fhir:link <http://fhir.ehdsi.eu/core/ValueSet/eHDSIVaccineWithExceptions>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.code" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.what[x]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "RXA-5" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".code" ]
           ], [
             fhir:index 4 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code" ]
           ]
         ], [
           fhir:index 53 ;
           fhir:Element.id [ fhir:value "Immunization.patient" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.patient" ] ;
           fhir:ElementDefinition.short [ fhir:value "Who was immunized" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The patient who either received or did not receive the immunization." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.patient" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://fhir.ehdsi.eu/eps/StructureDefinition/patient-myhealtheu-eps" ;
               fhir:index 0 ;
               fhir:link <http://fhir.ehdsi.eu/eps/StructureDefinition/patient-myhealtheu-eps>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.subject" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject[x]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PID-3" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".partipication[ttypeCode=].role" ]
           ], [
             fhir:index 4 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.subject" ]
           ]
         ], [
           fhir:index 54 ;
           fhir:Element.id [ fhir:value "Immunization.encounter" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.encounter" ] ;
           fhir:ElementDefinition.short [ fhir:value "Encounter immunization was part of" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The visit or admission or other contact between patient and health care provider the immunization was performed as part of." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.encounter" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.context" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.context" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "PV1-19" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "component->EncounterEvent" ]
           ]
         ], [
           fhir:index 55 ;
           fhir:Element.id [ fhir:value "Immunization.occurrence[x]" ] ;
           fhir:Element.extension [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "code" ] ;
               fhir:Extension.valueCode [ fhir:value "SHOULD:handle" ]
             ], [
               fhir:index 1 ;
               fhir:Extension.url [ fhir:value "actor" ] ;
               fhir:Extension.valueCanonical [
                 fhir:value "http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi" ;
                 fhir:link <http://fhir.ehdsi.eu/core/ActorDefinition/actor-handler-ehdsi>
               ]
             ], [
               fhir:index 2 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
               fhir:Extension.valueCanonical [
                 fhir:value "http://fhir.ehdsi.eu/core/StructureDefinition/immunization-myhealtheu-core|1.0.0" ;
                 fhir:link <http://fhir.ehdsi.eu/core/StructureDefinition/immunization-myhealtheu-core|1.0.0>
               ]
             ] ;
             fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
           ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.occurrence[x]" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "type" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "$this" ]
             ] ;
             fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "closed" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Date of vaccination" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Date vaccine administered or was to be administered." ] ;
           fhir:ElementDefinition.comment [ fhir:value "When immunizations are given a specific date and time should always be known.   When immunizations are patient reported, a specific date might not be known.  Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.occurrence[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.occurrence[x]" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.done[x]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "RXA-3" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".effectiveTime" ]
           ], [
             fhir:index 4 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value" ]
           ]
         ], [
           fhir:index 56 ;
           fhir:Element.id [ fhir:value "Immunization.occurrence[x]:occurrenceDateTime" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.occurrence[x]" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "occurrenceDateTime" ] ;
           fhir:ElementDefinition.short [ fhir:value "Vaccine administration date" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Date vaccine administered or was to be administered." ] ;
           fhir:ElementDefinition.comment [ fhir:value "When immunizations are given a specific date and time should always be known.   When immunizations are patient reported, a specific date might not be known.  Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.occurrence[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.occurrence[x]" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.done[x]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "RXA-3" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".effectiveTime" ]
           ], [
             fhir:index 4 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value" ]
           ]
         ], [
           fhir:index 57 ;
           fhir:Element.id [ fhir:value "Immunization.occurrence[x]:occurrenceDateTime.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.occurrence[x].id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ] ;
           fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)" ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 58 ;
           fhir:Element.id [ fhir:value "Immunization.occurrence[x]:occurrenceDateTime.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.occurrence[x].extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 59 ;
           fhir:Element.id [ fhir:value "Immunization.occurrence[x]:occurrenceDateTime.extension:periodOfLife" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.occurrence[x].extension" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "periodOfLife" ] ;
           fhir:ElementDefinition.short [ fhir:value "Many: Periods of Life" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Extensions used to indicate a time period in a person's life as a reference to a coded value for that life period." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ] ;
             fhir:ElementDefinition.type.profile [
               fhir:value "http://hl7.eu/fhir/extensions/StructureDefinition/periods-of-life" ;
               fhir:index 0 ;
               fhir:link <http://hl7.eu/fhir/extensions/StructureDefinition/periods-of-life>
             ]
           ] ;
           fhir:ElementDefinition.condition [
             fhir:value "ele-1" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 60 ;
           fhir:Element.id [ fhir:value "Immunization.occurrence[x]:occurrenceDateTime.extension:periodOfLife.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.occurrence[x].extension.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 61 ;
           fhir:Element.id [ fhir:value "Immunization.occurrence[x]:occurrenceDateTime.extension:periodOfLife.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.occurrence[x].extension.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An Extension" ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "0" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 62 ;
           fhir:Element.id [ fhir:value "Immunization.occurrence[x]:occurrenceDateTime.extension:periodOfLife.url" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.occurrence[x].extension.url" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "uri" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.eu/fhir/extensions/StructureDefinition/periods-of-life" ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 63 ;
           fhir:Element.id [ fhir:value "Immunization.occurrence[x]:occurrenceDateTime.extension:periodOfLife.value[x]" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.occurrence[x].extension.value[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "Value of extension" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:ElementDefinition.binding.strength [ fhir:value "preferred" ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.eu/fhir/base/ValueSet/periodsOfLife-eu" ;
               fhir:link <http://hl7.eu/fhir/base/ValueSet/periodsOfLife-eu>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 64 ;
           fhir:Element.id [ fhir:value "Immunization.occurrence[x]:occurrenceDateTime.value" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.occurrence[x].value" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Primitive value for dateTime" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The actual value" ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "dateTime.value" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "dateTime" ]
             ], [
               fhir:index 1 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/regex" ] ;
               fhir:Extension.valueString [ fhir:value "([0-9]([0-9]([0-9][1-9]|[1-9]0)|[1-9]00)|[1-9]000)(-(0[1-9]|1[0-2])(-(0[1-9]|[1-2][0-9]|3[0-1])(T([01][0-9]|2[0-3]):[0-5][0-9]:([0-5][0-9]|60)(\\.[0-9]+)?(Z|(\\+|-)((0[0-9]|1[0-3]):[0-5][0-9]|14:00)))?)?)?" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.DateTime" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
         ], [
           fhir:index 65 ;
           fhir:Element.id [ fhir:value "Immunization.recorded" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.recorded" ] ;
           fhir:ElementDefinition.short [ fhir:value "When the immunization was first captured in the subject's record" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.recorded" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.recorded" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=AUT].time" ]
           ]
         ], [
           fhir:index 66 ;
           fhir:Element.id [ fhir:value "Immunization.primarySource" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.primarySource" ] ;
           fhir:ElementDefinition.short [ fhir:value "Indicates context the data was recorded in" ] ;
           fhir:ElementDefinition.definition [ fhir:value "An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Reflects the “reliability” of the content." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.primarySource" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.source" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "RXA-9" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "immunization.uncertaintycode (if primary source=false, uncertainty=U)" ]
           ]
         ], [
           fhir:index 67 ;
           fhir:Element.id [ fhir:value "Immunization.reportOrigin" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.reportOrigin" ] ;
           fhir:ElementDefinition.short [ fhir:value "Indicates the source of a secondarily reported record" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Should not be populated if primarySource = True, not required even if primarySource = False." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.reportOrigin" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "ImmunizationReportOrigin" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The source of the data for a record which is not from a primary source." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/immunization-origin|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/immunization-origin|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.source" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "RXA-9" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)" ]
           ]
         ], [
           fhir:index 68 ;
           fhir:Element.id [ fhir:value "Immunization.location" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.location" ] ;
           fhir:ElementDefinition.short [ fhir:value "Where immunization occurred" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The service delivery location where the vaccine administration occurred." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.location" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://fhir.ehdsi.eu/core/StructureDefinition/location-myhealtheu-core" ;
               fhir:index 0 ;
               fhir:link <http://fhir.ehdsi.eu/core/StructureDefinition/location-myhealtheu-core>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.location" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.where[x]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "RXA-27  (or RXA-11, deprecated as of v2.7)" ]
           ], [
             fhir:index 3 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=LOC].COCT_MT240000UV" ]
           ]
         ], [
           fhir:index 69 ;
           fhir:Element.id [ fhir:value "Immunization.manufacturer" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.manufacturer" ] ;
           fhir:ElementDefinition.short [ fhir:value "Vaccine manufacturer/MAH" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Name of vaccine manufacturer." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.manufacturer" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "RXA-17" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name" ]
           ]
         ], [
           fhir:index 70 ;
           fhir:Element.id [ fhir:value "Immunization.lotNumber" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.lotNumber" ] ;
           fhir:ElementDefinition.short [ fhir:value "Batch/lot number" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Lot number of the  vaccine product." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.lotNumber" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "RXA-15" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText" ]
           ]
         ], [
           fhir:index 71 ;
           fhir:Element.id [ fhir:value "Immunization.expirationDate" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.expirationDate" ] ;
           fhir:ElementDefinition.short [ fhir:value "Vaccine expiration date" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Date vaccine batch expires." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.expirationDate" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "date" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "RXA-16" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime" ]
           ]
         ], [
           fhir:index 72 ;
           fhir:Element.id [ fhir:value "Immunization.site" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.site" ] ;
           fhir:ElementDefinition.short [ fhir:value "Body site vaccine  was administered" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Body site where vaccine was administered." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.site" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://fhir.ehdsi.eu/core/ValueSet/eHDSIBodySiteWithExceptions" ;
               fhir:link <http://fhir.ehdsi.eu/core/ValueSet/eHDSIBodySiteWithExceptions>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "RXR-2" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "observation.targetSiteCode" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code" ]
           ]
         ], [
           fhir:index 73 ;
           fhir:Element.id [ fhir:value "Immunization.route" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.route" ] ;
           fhir:ElementDefinition.short [ fhir:value "How vaccine entered body" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The path by which the vaccine product is taken into the body." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.route" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://terminology.ehdsi.eu/ValueSet/eHDSIRouteofAdministration" ;
               fhir:link <http://terminology.ehdsi.eu/ValueSet/eHDSIRouteofAdministration>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "RXR-1" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".routeCode" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "cda" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code" ]
           ]
         ], [
           fhir:index 74 ;
           fhir:Element.id [ fhir:value "Immunization.doseQuantity" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.doseQuantity" ] ;
           fhir:ElementDefinition.short [ fhir:value "Amount of vaccine administered" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The quantity of vaccine product that was administered." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.doseQuantity" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Quantity" ] ;
             fhir:ElementDefinition.type.profile [
               fhir:value "http://fhir.ehdsi.eu/core/StructureDefinition/SimpleQuantity-myhealth" ;
               fhir:index 0 ;
               fhir:link <http://fhir.ehdsi.eu/core/StructureDefinition/SimpleQuantity-myhealth>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "RXA-6 / RXA-7" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".doseQuantity" ]
           ]
         ], [
           fhir:index 75 ;
           fhir:Element.id [ fhir:value "Immunization.performer" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "$this.function" ]
             ] ;
             fhir:ElementDefinition.slicing.ordered [ fhir:value "false"^^xsd:boolean ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Who performed event" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Indicates who performed the immunization event." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.performer" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "ORC-12 / RXA-10" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" ]
           ]
         ], [
           fhir:index 76 ;
           fhir:Element.id [ fhir:value "Immunization.performer.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 77 ;
           fhir:Element.id [ fhir:value "Immunization.performer.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer.extension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 78 ;
           fhir:Element.id [ fhir:value "Immunization.performer.modifierExtension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer.modifierExtension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ], [
             fhir:value "modifiers" ;
             fhir:index 2
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 79 ;
           fhir:Element.id [ fhir:value "Immunization.performer.function" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer.function" ] ;
           fhir:ElementDefinition.short [ fhir:value "What type of performance was done" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Describes the type of performance (e.g. ordering provider, administering provider, etc.)." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.performer.function" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "ImmunizationFunction" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The role a practitioner or organization plays in the immunization event." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/immunization-function|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/immunization-function|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.function" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation.functionCode" ]
           ]
         ], [
           fhir:index 80 ;
           fhir:Element.id [ fhir:value "Immunization.performer.actor" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer.actor" ] ;
           fhir:ElementDefinition.short [ fhir:value "Individual or organization who was performing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The practitioner or organization who performed the action." ] ;
           fhir:ElementDefinition.comment [ fhir:value "When the individual practitioner who performed the action is known, it is best to send." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.performer.actor" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1>
             ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1" ;
               fhir:index 1 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1>
             ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" ;
               fhir:index 2 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.actor" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.actor" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".player" ]
           ]
         ], [
           fhir:index 81 ;
           fhir:Element.id [ fhir:value "Immunization.performer:administeringCentreOrHp" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "administeringCentreOrHp" ] ;
           fhir:ElementDefinition.short [ fhir:value "Administering centre" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Indicates who performed the immunization event." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.performer" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "ORC-12 / RXA-10" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]" ]
           ]
         ], [
           fhir:index 82 ;
           fhir:Element.id [ fhir:value "Immunization.performer:administeringCentreOrHp.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 83 ;
           fhir:Element.id [ fhir:value "Immunization.performer:administeringCentreOrHp.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer.extension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 84 ;
           fhir:Element.id [ fhir:value "Immunization.performer:administeringCentreOrHp.modifierExtension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer.modifierExtension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ], [
             fhir:value "modifiers" ;
             fhir:index 2
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 85 ;
           fhir:Element.id [ fhir:value "Immunization.performer:administeringCentreOrHp.function" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer.function" ] ;
           fhir:ElementDefinition.short [ fhir:value "What type of performance was done" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Describes the type of performance (e.g. ordering provider, administering provider, etc.)." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.performer.function" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.patternCodeableConcept [
             fhir:CodeableConcept.coding [
               fhir:index 0 ;
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0443" ] ;
               fhir:Coding.code [ fhir:value "AP" ]
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "ImmunizationFunction" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The role a practitioner or organization plays in the immunization event." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/immunization-function|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/immunization-function|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.function" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation.functionCode" ]
           ]
         ], [
           fhir:index 86 ;
           fhir:Element.id [ fhir:value "Immunization.performer:administeringCentreOrHp.actor" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer.actor" ] ;
           fhir:ElementDefinition.short [ fhir:value "Individual or organization who was performing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The practitioner or organization who performed the action." ] ;
           fhir:ElementDefinition.comment [ fhir:value "When the individual practitioner who performed the action is known, it is best to send." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.performer.actor" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://fhir.ehdsi.eu/eps/StructureDefinition/organization-myhealtheu-eps" ;
               fhir:index 0 ;
               fhir:link <http://fhir.ehdsi.eu/eps/StructureDefinition/organization-myhealtheu-eps>
             ], [
               fhir:value "http://fhir.ehdsi.eu/eps/StructureDefinition/practitionerRole-myhealtheu-eps" ;
               fhir:index 1 ;
               fhir:link <http://fhir.ehdsi.eu/eps/StructureDefinition/practitionerRole-myhealtheu-eps>
             ], [
               fhir:value "http://fhir.ehdsi.eu/eps/StructureDefinition/practitioner-myhealtheu-eps" ;
               fhir:index 2 ;
               fhir:link <http://fhir.ehdsi.eu/eps/StructureDefinition/practitioner-myhealtheu-eps>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.performer.actor" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "w5" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "FiveWs.actor" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".player" ]
           ]
         ], [
           fhir:index 87 ;
           fhir:Element.id [ fhir:value "Immunization.note" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.note" ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional immunization notes" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Extra information about the immunization that is not conveyed by the other attributes." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.note" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Annotation" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.note" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 : OBX-3 = 48767-8" ]
           ], [
             fhir:index 2 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "note" ]
           ]
         ], [
           fhir:index 88 ;
           fhir:Element.id [ fhir:value "Immunization.note.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.note.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 89 ;
           fhir:Element.id [ fhir:value "Immunization.note.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.note.extension" ] ;
           fhir:ElementDefinition.slicing [
             fhir:ElementDefinition.slicing.discriminator [
               fhir:index 0 ;
               fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
               fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
             ] ;
             fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
             fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 90 ;
           fhir:Element.id [ fhir:value "Immunization.note.author[x]" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.note.author[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "Individual responsible for the annotation" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The individual responsible for making the annotation." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Organization is used when there's no need for specific attribution as to who made the comment." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Annotation.author[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1>
             ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Patient|4.0.1" ;
               fhir:index 1 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Patient|4.0.1>
             ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1" ;
               fhir:index 2 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1>
             ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" ;
               fhir:index 3 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization|4.0.1>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Act.participant[typeCode=AUT].role" ]
           ]
         ], [
           fhir:index 91 ;
           fhir:Element.id [ fhir:value "Immunization.note.time" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.note.time" ] ;
           fhir:ElementDefinition.short [ fhir:value "When the annotation was made" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Indicates when this particular annotation was made." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Annotation.time" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Act.effectiveTime" ]
           ]
         ], [
           fhir:index 92 ;
           fhir:Element.id [ fhir:value "Immunization.note.text" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.note.text" ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional notes about the immunization" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The text of the annotation in markdown format." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Annotation.text" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "markdown" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Act.text" ]
           ]
         ], [
           fhir:index 93 ;
           fhir:Element.id [ fhir:value "Immunization.reasonCode" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.reasonCode" ] ;
           fhir:ElementDefinition.short [ fhir:value "Reasons for the administration." ] ;
           fhir:ElementDefinition.definition [ fhir:value "Reasons why the vaccine was administered." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.reasonCode" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "ImmunizationReason" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The reason why a vaccine was administered." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/immunization-reason|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/immunization-reason|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.reasonCode" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "[actionNegationInd=false].reasonCode" ]
           ]
         ], [
           fhir:index 94 ;
           fhir:Element.id [ fhir:value "Immunization.reasonReference" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.reasonReference" ] ;
           fhir:ElementDefinition.short [ fhir:value "Why immunization occurred" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Condition, Observation or DiagnosticReport that supports why the immunization was administered." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.reasonReference" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Condition|4.0.1" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Condition|4.0.1>
             ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1" ;
               fhir:index 1 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Observation|4.0.1>
             ], [
               fhir:value "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1" ;
               fhir:index 2 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/DiagnosticReport|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "workflow" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Event.reasonReference" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 95 ;
           fhir:Element.id [ fhir:value "Immunization.isSubpotent" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.isSubpotent" ] ;
           fhir:ElementDefinition.short [ fhir:value "Dose potency" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent." ] ;
           fhir:ElementDefinition.comment [ fhir:value "Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.isSubpotent" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
           ] ;
           fhir:ElementDefinition.meaningWhenMissing [ fhir:value "By default, a dose should be considered to be potent." ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose." ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "RXA-20 = PA (partial administration)" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 96 ;
           fhir:Element.id [ fhir:value "Immunization.subpotentReason" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.subpotentReason" ] ;
           fhir:ElementDefinition.short [ fhir:value "Reason for being subpotent" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Reason why a dose is considered to be subpotent." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.subpotentReason" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "SubpotentReason" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The reason why a dose is considered to be subpotent." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/immunization-subpotent-reason|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/immunization-subpotent-reason|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 97 ;
           fhir:Element.id [ fhir:value "Immunization.education" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.education" ] ;
           fhir:ElementDefinition.short [ fhir:value "Educational material presented to patient" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Educational material presented to the patient (or guardian) at the time of vaccine administration." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.education" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "imm-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "One of documentType or reference SHALL be present" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "documentType.exists() or reference.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:documentType) or exists(f:reference)" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 98 ;
           fhir:Element.id [ fhir:value "Immunization.education.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.education.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 99 ;
           fhir:Element.id [ fhir:value "Immunization.education.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.education.extension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 100 ;
           fhir:Element.id [ fhir:value "Immunization.education.modifierExtension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.education.modifierExtension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ], [
             fhir:value "modifiers" ;
             fhir:index 2
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 101 ;
           fhir:Element.id [ fhir:value "Immunization.education.documentType" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.education.documentType" ] ;
           fhir:ElementDefinition.short [ fhir:value "Educational material document identifier" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Identifier of the material presented to the patient." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.education.documentType" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 : OBX-3 = 69764-9" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 102 ;
           fhir:Element.id [ fhir:value "Immunization.education.reference" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.education.reference" ] ;
           fhir:ElementDefinition.short [ fhir:value "Educational material reference pointer" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Reference pointer to the educational material given to the patient if the information was on line." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.education.reference" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "uri" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 103 ;
           fhir:Element.id [ fhir:value "Immunization.education.publicationDate" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.education.publicationDate" ] ;
           fhir:ElementDefinition.short [ fhir:value "Educational material publication date" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Date the educational material was published." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.education.publicationDate" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 : OBX-3 = 29768-9" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 104 ;
           fhir:Element.id [ fhir:value "Immunization.education.presentationDate" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.education.presentationDate" ] ;
           fhir:ElementDefinition.short [ fhir:value "Educational material presentation date" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Date the educational material was given to the patient." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.education.presentationDate" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 : OBX-3 = 29769-7" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 105 ;
           fhir:Element.id [ fhir:value "Immunization.programEligibility" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.programEligibility" ] ;
           fhir:ElementDefinition.short [ fhir:value "Patient eligibility for a vaccination program" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Indicates a patient's eligibility for a funding program." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.programEligibility" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "ProgramEligibility" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The patient's eligibility for a vaccation program." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/immunization-program-eligibility|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/immunization-program-eligibility|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 : OBX-3 = 64994-7" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 106 ;
           fhir:Element.id [ fhir:value "Immunization.fundingSource" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.fundingSource" ] ;
           fhir:ElementDefinition.short [ fhir:value "Funding source for the vaccine" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered)." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.fundingSource" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" ] ;
               fhir:Extension.valueString [ fhir:value "FundingSource" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "example" ] ;
             fhir:ElementDefinition.binding.description [ fhir:value "The source of funding used to purchase the vaccine administered." ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://hl7.org/fhir/ValueSet/immunization-funding-source|4.0.1" ;
               fhir:link <http://hl7.org/fhir/ValueSet/immunization-funding-source|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 107 ;
           fhir:Element.id [ fhir:value "Immunization.reaction" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.reaction" ] ;
           fhir:ElementDefinition.short [ fhir:value "Details of a reaction that follows immunization" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Categorical data indicating that an adverse event is associated in time to an immunization." ] ;
           fhir:ElementDefinition.comment [ fhir:value "A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.reaction" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "OBX-3" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "Observation[classCode=obs].code" ]
           ]
         ], [
           fhir:index 108 ;
           fhir:Element.id [ fhir:value "Immunization.reaction.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.reaction.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 109 ;
           fhir:Element.id [ fhir:value "Immunization.reaction.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.reaction.extension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 110 ;
           fhir:Element.id [ fhir:value "Immunization.reaction.modifierExtension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.reaction.modifierExtension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ], [
             fhir:value "modifiers" ;
             fhir:index 2
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 111 ;
           fhir:Element.id [ fhir:value "Immunization.reaction.date" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.reaction.date" ] ;
           fhir:ElementDefinition.short [ fhir:value "When reaction started" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Date of reaction to the immunization." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.reaction.date" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 v2 VXU message - most likely would appear in OBX segments if at all)" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".effectiveTime" ]
           ]
         ], [
           fhir:index 112 ;
           fhir:Element.id [ fhir:value "Immunization.reaction.detail" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.reaction.detail" ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional information on reaction" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Details of the reaction." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.reaction.detail" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Observation|4.0.1" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Observation|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".value" ]
           ]
         ], [
           fhir:index 113 ;
           fhir:Element.id [ fhir:value "Immunization.reaction.reported" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.reaction.reported" ] ;
           fhir:ElementDefinition.short [ fhir:value "Indicates self-reported reaction" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Self-reported indicator." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.reaction.reported" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "(HL7 v2 doesn't seem to provide for this)" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)" ]
           ]
         ], [
           fhir:index 114 ;
           fhir:Element.id [ fhir:value "Immunization.protocolApplied" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.protocolApplied" ] ;
           fhir:ElementDefinition.short [ fhir:value "Protocol followed by the provider" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The protocol (set of recommendations) being followed by the provider who administered the dose." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.protocolApplied" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 115 ;
           fhir:Element.id [ fhir:value "Immunization.protocolApplied.id" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.protocolApplied.id" ] ;
           fhir:ElementDefinition.representation [
             fhir:value "xmlAttr" ;
             fhir:index 0
           ] ;
           fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
               fhir:Extension.valueUrl [ fhir:value "string" ]
             ] ;
             fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 116 ;
           fhir:Element.id [ fhir:value "Immunization.protocolApplied.extension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.protocolApplied.extension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
           ]
         ], [
           fhir:index 117 ;
           fhir:Element.id [ fhir:value "Immunization.protocolApplied.modifierExtension" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.protocolApplied.modifierExtension" ] ;
           fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
           fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
           fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
           fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
           fhir:ElementDefinition.alias [
             fhir:value "extensions" ;
             fhir:index 0
           ], [
             fhir:value "user content" ;
             fhir:index 1
           ], [
             fhir:value "modifiers" ;
             fhir:index 2
           ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 118 ;
           fhir:Element.id [ fhir:value "Immunization.protocolApplied.series" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.protocolApplied.series" ] ;
           fhir:ElementDefinition.short [ fhir:value "Name of vaccine series" ] ;
           fhir:ElementDefinition.definition [ fhir:value "One possible path to achieve presumed immunity against a disease - within the context of an authority." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.protocolApplied.series" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 119 ;
           fhir:Element.id [ fhir:value "Immunization.protocolApplied.authority" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.protocolApplied.authority" ] ;
           fhir:ElementDefinition.short [ fhir:value "Who is responsible for publishing the recommendations" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Indicates the authority who published the protocol (e.g. ACIP) that is being followed." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.protocolApplied.authority" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Organization|4.0.1" ;
               fhir:index 0 ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Organization|4.0.1>
             ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 120 ;
           fhir:Element.id [ fhir:value "Immunization.protocolApplied.targetDisease" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.protocolApplied.targetDisease" ] ;
           fhir:ElementDefinition.short [ fhir:value "Vaccine preventatable disease being targetted" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The vaccine preventable disease the dose is being administered against." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "*" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.protocolApplied.targetDisease" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "*" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.binding [
             fhir:Element.extension [
               fhir:index 0 ;
               fhir:Element.extension [
                 fhir:index 0 ;
                 fhir:Extension.url [ fhir:value "purpose" ] ;
                 fhir:Extension.valueCode [ fhir:value "preferred" ]
               ], [
                 fhir:index 1 ;
                 fhir:Extension.url [ fhir:value "valueSet" ] ;
                 fhir:Extension.valueCanonical [
                   fhir:value "http://terminology.ehdsi.eu/ValueSet/eHDSIIllnessandDisorder" ;
                   fhir:link <http://terminology.ehdsi.eu/ValueSet/eHDSIIllnessandDisorder>
                 ]
               ], [
                 fhir:index 2 ;
                 fhir:Extension.url [ fhir:value "documentation" ] ;
                 fhir:Extension.valueMarkdown [ fhir:value "Additional conformance binding to a diseases value set for use in specific jurisdictional or for cross-border settings." ]
               ], [
                 fhir:index 3 ;
                 fhir:Extension.url [ fhir:value "shortDoco" ] ;
                 fhir:Extension.valueString [ fhir:value "For when WHO ATC code system is preferred" ]
               ] ;
               fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/additional-binding" ]
             ] ;
             fhir:ElementDefinition.binding.strength [ fhir:value "required" ] ;
             fhir:ElementDefinition.binding.valueSet [
               fhir:value "http://fhir.ehdsi.eu/core/ValueSet/eHDSIIllnessandDisorderWithExceptions" ;
               fhir:link <http://fhir.ehdsi.eu/core/ValueSet/eHDSIIllnessandDisorderWithExceptions>
             ]
           ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 121 ;
           fhir:Element.id [ fhir:value "Immunization.protocolApplied.doseNumber[x]" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.protocolApplied.doseNumber[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "Dose Number" ] ;
           fhir:ElementDefinition.definition [ fhir:value "Nominal position in a series." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose)." ] ;
           fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.protocolApplied.doseNumber[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ], [
           fhir:index 122 ;
           fhir:Element.id [ fhir:value "Immunization.protocolApplied.seriesDoses[x]" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.protocolApplied.seriesDoses[x]" ] ;
           fhir:ElementDefinition.short [ fhir:value "Number of doses" ] ;
           fhir:ElementDefinition.definition [ fhir:value "The recommended number of doses to achieve immunity." ] ;
           fhir:ElementDefinition.comment [ fhir:value "The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose)." ] ;
           fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
           fhir:ElementDefinition.max [ fhir:value "1" ] ;
           fhir:ElementDefinition.base [
             fhir:ElementDefinition.base.path [ fhir:value "Immunization.protocolApplied.seriesDoses[x]" ] ;
             fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
             fhir:ElementDefinition.base.max [ fhir:value "1" ]
           ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "positiveInt" ]
           ], [
             fhir:index 1 ;
             fhir:ElementDefinition.type.code [ fhir:value "string" ]
           ] ;
           fhir:ElementDefinition.constraint [
             fhir:index 0 ;
             fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
             fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
             fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
             fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
             fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
             fhir:ElementDefinition.constraint.source [
               fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
               fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
             ]
           ] ;
           fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
           fhir:ElementDefinition.mapping [
             fhir:index 0 ;
             fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
             fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
           ]
         ]
      ] ;
      fhir:StructureDefinition.differential [
         fhir:StructureDefinition.differential.element [
           fhir:index 0 ;
           fhir:Element.id [ fhir:value "Immunization.patient" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.patient" ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://fhir.ehdsi.eu/eps/StructureDefinition/patient-myhealtheu-eps" ;
               fhir:index 0 ;
               fhir:link <http://fhir.ehdsi.eu/eps/StructureDefinition/patient-myhealtheu-eps>
             ]
           ]
         ], [
           fhir:index 1 ;
           fhir:Element.id [ fhir:value "Immunization.performer:administeringCentreOrHp" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer" ] ;
           fhir:ElementDefinition.sliceName [ fhir:value "administeringCentreOrHp" ]
         ], [
           fhir:index 2 ;
           fhir:Element.id [ fhir:value "Immunization.performer:administeringCentreOrHp.actor" ] ;
           fhir:ElementDefinition.path [ fhir:value "Immunization.performer.actor" ] ;
           fhir:ElementDefinition.type [
             fhir:index 0 ;
             fhir:ElementDefinition.type.code [ fhir:value "Reference" ] ;
             fhir:ElementDefinition.type.targetProfile [
               fhir:value "http://fhir.ehdsi.eu/eps/StructureDefinition/organization-myhealtheu-eps" ;
               fhir:index 0 ;
               fhir:link <http://fhir.ehdsi.eu/eps/StructureDefinition/organization-myhealtheu-eps>
             ], [
               fhir:value "http://fhir.ehdsi.eu/eps/StructureDefinition/practitionerRole-myhealtheu-eps" ;
               fhir:index 1 ;
               fhir:link <http://fhir.ehdsi.eu/eps/StructureDefinition/practitionerRole-myhealtheu-eps>
             ], [
               fhir:value "http://fhir.ehdsi.eu/eps/StructureDefinition/practitioner-myhealtheu-eps" ;
               fhir:index 2 ;
               fhir:link <http://fhir.ehdsi.eu/eps/StructureDefinition/practitioner-myhealtheu-eps>
             ]
           ]
         ]
      ] .

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

    <http://hl7.org/fhir/StructureDefinition/immunization-myhealtheu-eps.ttl> a owl:Ontology ;
      owl:imports fhir:fhir.ttl ;
      owl:versionIRI <http://build.fhir.org/StructureDefinition/immunization-myhealtheu-eps.ttl> .